HRP20040704A2 - A nutrient pharmaceutical formulation comprising polyphenols and use in treatment of cancer - Google Patents

A nutrient pharmaceutical formulation comprising polyphenols and use in treatment of cancer Download PDF

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HRP20040704A2
HRP20040704A2 HR20040704A HRP20040704A HRP20040704A2 HR P20040704 A2 HRP20040704 A2 HR P20040704A2 HR 20040704 A HR20040704 A HR 20040704A HR P20040704 A HRP20040704 A HR P20040704A HR P20040704 A2 HRP20040704 A2 HR P20040704A2
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pharmaceutical composition
composition according
lysine
proline
nutritive
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Matthias Rath
Shrirang Netke
Aleksandra Niedzwiecki
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Abstract

A nutrient pharmaceutical formulation composition useful for treating cancer comprising ascorbic acid, L-lysine, L-proline and at least one polyphenol compound selected from the group consisting of epigallocatechin gallate, epicatechin gallate, epigallocatechin, epicatechin, catechin and the use of the composition in treating cancer and other tumors are provided. A nutrient pharmaceutical formulation composition of EPICAN FORTE(TM) and its method of use in treating cancer are also disclosed.

Description

Upućivanje na srodnu prijavu Reference to related application

Ova prijava polaže prava na korist prema 35 U.S.C. § 119(e) U.S.C. privremenih prijava serijskog broja 60/348,143 podnesenih 11. siječnja 2002., kojih je sadržaj ovdje referencom inkorporiran u svojoj cjelokupnosti. This application claims benefit under 35 U.S.C. § 119(e) U.S.C. provisional application serial number 60/348,143 filed on Jan. 11, 2002, the contents of which are incorporated herein by reference in their entirety.

Područje izuma Field of invention

Predmetni se izum odnosi na hranjivu farmaceutsku formulaciju i njenu uporabu za liječenje raka. Osobito, predmetni se izum odnosi na farmaceutske formulacije koje sadrže polifenol i imaju učinkovitu količinu polifenola za liječenje raka. Formulacija predmetnog izuma se koristi kao agens za prevenciju i liječenje raka, koji sadrži askorbinsku kiselinu, lizin, prolin i barem jedan polifenolni spoj odabran iz skupine koja se sastoji od epigalokatehin galata, epikatehin galata, epigalokatehina, epikatehina i katehina. The present invention relates to a nutritional pharmaceutical formulation and its use for the treatment of cancer. In particular, the subject invention relates to pharmaceutical formulations that contain polyphenols and have an effective amount of polyphenols for the treatment of cancer. The formulation of the present invention is used as an agent for the prevention and treatment of cancer, containing ascorbic acid, lysine, proline and at least one polyphenolic compound selected from the group consisting of epigallocatechin gallate, epicatechin gallate, epigallocatechin, epicatechin and catechin.

Stanje tehnike State of the art

Rak je jedan od vodećih uzročnika smrti u industrijaliziranom svijetu. Ne postoji nikakvo specifično i uzročno liječenje za rak, i smrtnost od raka je među najvećim od svih bolesti. Najšire korištena liječenja, kemoterapija i radioterapija, ne razlikuju zdravo tkivo i rak i povezana su sa žestokim nuspojavama. Zbog toga postoji potreba za selektivnim liječenjem raka. Cancer is one of the leading causes of death in the industrialized world. There is no specific and causative treatment for cancer, and cancer mortality is among the highest of all diseases. The most widely used treatments, chemotherapy and radiotherapy, do not distinguish between healthy tissue and cancer and are associated with severe side effects. This is why there is a need for selective cancer treatment.

Jedan od ključnih mehanizama kojeg stanice raka koriste da ekspandiraju i metastaziraju u tijelu uključuje enzimatsku destrukciju okolnog vezivnog tkiva. Terapeutski pristupi za kontrolu ovog procesa putem specifičnih lijekova nisu bili uspješni i trenutno nema raspoloživih sredstava za kontrolu metastaziranja raka. Trenutni protokoli liječenja kemoterapijom i radioterapijom fokusiraju se na destrukciju stanica raka u tijelu, i oni nisu usmjereni na metastaziranje. Štoviše, ova liječenja su toksična, nespecifična i povezana sa žestokim sporednim efektima. Kemoterapija i radioterapija nose rizik razvoja novih rakova i njihovom destrukcijom vezivnog tkiva u tijelu mogu olakšati invaziju raka. One of the key mechanisms used by cancer cells to expand and metastasize in the body involves the enzymatic destruction of surrounding connective tissue. Therapeutic approaches to control this process through specific drugs have not been successful and currently there are no available means to control cancer metastases. Current treatment protocols with chemotherapy and radiotherapy focus on the destruction of cancer cells in the body, and they are not aimed at metastasizing. Moreover, these treatments are toxic, non-specific and associated with severe side effects. Chemotherapy and radiotherapy carry the risk of developing new cancers, and by destroying the connective tissue in the body, they can facilitate the invasion of cancer.

Da bi rasle i ekspandirale u druge dijelove tijela, stanice raka razaraju ekstracelularni matriks putem različitih metaloproteinaza matriksa (Matrix Metalloproteinases, MMPs) i plazmina, čije su aktivnosti korelirale s agresivnošću rasta tumora. Rath i Pauling (1992.) su pretpostavili da hranjive tvari kao što je neka aminokiselina, lizin i askorbinska kiselina, mogu djelovati kao prirodni inhibitori proteolize ekstracelularnog matriksa i da kao takve imaju potencijal da moduliraju rast i ekspanziju tumora. Ove hranjive tvari mogu provoditi svoj antitumorski potencijal putem nekoliko mehanizama, između njih inhibicijom MMP-a i ojačavanjem vezivnog tkiva koje okružuje stanice raka (efekt "inkapsuliranja" tumora). In order to grow and expand to other parts of the body, cancer cells destroy the extracellular matrix through various matrix metalloproteinases (Matrix Metalloproteinases, MMPs) and plasmin, whose activities have been correlated with the aggressiveness of tumor growth. Rath and Pauling (1992) hypothesized that nutrients such as some amino acids, lysine and ascorbic acid, may act as natural inhibitors of extracellular matrix proteolysis and as such have the potential to modulate tumor growth and expansion. These nutrients may exert their antitumor potential through several mechanisms, among them inhibition of MMPs and strengthening of the connective tissue surrounding cancer cells (tumor "encapsulation" effect).

U.S. patent br. 5,962,517 otkriva farmaceutski sastav za jednu drugu medicinsku indikaciju (liječenje akni). Otkriveni sastav sadrži komponentu za smanjivanje akni, barem jednu iz korijena čička i korijena kiselice, ili sastav na bazi katehina; i jednu komponentu za kondicioniranje kožnih stanica koja sadrži neki prelazni metal. Otkriveni sastav ne pokazuje se da ima bilo kakvu blagotvornu vrijednost u liječenju i/ili prevenciji raka. LOUSE. patent no. 5,962,517 discloses a pharmaceutical composition for a different medical indication (treatment of acne). The disclosed composition comprises an acne-reducing component, at least one of burdock root and sorrel root, or a catechin-based composition; and a skin cell conditioning component containing a transition metal. The disclosed composition is not shown to have any beneficial value in the treatment and/or prevention of cancer.

PCT WO 00/76492 otkriva hranjivu formulaciju za smanjenje bolesti, koja sadrži neki katehinski spoj. Međutim, bioraspoloživost katehinskih spojeva pokazala se niskom (Chen L., Lee M.J., Yang C.S. Drug. Metab. Dispos. 25: 1045-1050 (1997); Yang C.S., Chen L., Lee M.J.., Balentine D.A., Kuo M.C., Schantz S. Cancer Epidemol. Biomark. Prev. 7: 351-35 (1998); Bell J.R., Donovan J.L., Wong R., Waterhouse H., German J.B., Walzem R.L., Kasim K. Am. J. Clin. Nutr. 71: 103-108 (2000); Sherry Chow H.H., Cai Y., Alberts D.S., Hakim I., Dorr R., Shahi F., Crowell J.A., Yang S.C., Hara H. Cancer Epidemol. Biomark. Prev. 10: 53-58 (2001)), a PCT WO 00/76492 ne uspijeva otkriti način da se poveća bioraspoloživost kolika je potrebna u liječenju i/ili prevenciji raka. PCT WO 00/76492 discloses a disease-reducing nutritional formulation containing a catechin compound. However, the bioavailability of catechin compounds has been shown to be low (Chen L., Lee M.J., Yang C.S. Drug. Metab. Dispos. 25: 1045-1050 (1997); Yang C.S., Chen L., Lee M.J.., Balentine D.A., Kuo M.C., Schantz S. Cancer Epidemol. Biomark. Prev. 7: 351-35 (1998); Bell J.R., Donovan J.L., Wong R., Waterhouse H., German J.B., Walzem R.L., Kasim K. Am. J. Clin. Nutr. 71: 103-108 (2000); Sherry Chow H.H., Cai Y., Alberts D.S., Hakim I., Dorr R., Shahi F., Crowell J.A., Yang S.C., Hara H. Cancer Epidemol. Biomark. Prev. 10: 53-58 (2001)), and PCT WO 00/76492 fails to disclose a way to increase bioavailability as needed in the treatment and/or prevention of cancer.

Demeule et al. otkrivaju da katehini zelenog čaja mogu imati inhibitorske efekte na metaloproteinazu matriksa. Ne postoje preporuke ili tumačenje s obzirom na to kako koristiti katehine u liječenju i/ili prevenciji raka. S obzirom na činjenicu da je bioraspoloživost polifenola kod ljudi ekstremno niska, niska tkivna koncentracija katehina uvelike smanjuje terapeutsku vrijednost polifenola uključujući epigalokatehin galat (epigallocatechin gallate, EGCG). Postoji stalna potreba da se nađe bolji farmaceutski sastav koji sadrži polifenole, a da je učinkovit u liječenju neoplastičnih bolesti i drugih bolesti uključujući upalne bolesti. Demeule et al. reveal that green tea catechins can have inhibitory effects on matrix metalloproteinase. There are no recommendations or interpretations regarding how to use catechins in the treatment and/or prevention of cancer. Considering the fact that the bioavailability of polyphenols in humans is extremely low, the low tissue concentration of catechins greatly reduces the therapeutic value of polyphenols including epigallocatechin gallate (EGCG). There is a constant need to find a better pharmaceutical composition containing polyphenols that is effective in the treatment of neoplastic diseases and other diseases including inflammatory diseases.

Postoji potreba za sigurnim i učinkovitim prirodnim pristupima koji se mogu upotrijebiti za kontrolu procesa ekspanzije raka u tijelu. Postoji također potreba za preventivnom mjerom protiv rakova ili benignih tumora da se razviju u ljudi i takva mjera bi se mogla primijeniti na pacijentima bez rizika od nuspojava povezanih s liječenjem. Hranjivi farmaceutski sastavi su postali omiljeli, kako u posljednje vrijeme raste incidencija raka. Zahtjev za takvim sastavom će se nastaviti i vjerojatno će rasti. There is a need for safe and effective natural approaches that can be used to control the process of cancer expansion in the body. There is also a need for a preventive measure against cancers or benign tumors developing in humans and such a measure could be applied to patients without the risk of side effects associated with treatment. Nutritive pharmaceutical formulations have become a favorite, as the incidence of cancer has recently increased. The demand for such composition will continue and is likely to grow.

Izlaganje biti izuma Presentation of the essence of the invention

Jedan je cilj da predmetni izum daje hranjivi farmaceutski sastav koristan u liječenju raka, koji sadrži: a) jedan askorbinski spoj; b) jedan L-lizinski spoj; c) jedan L-prolinski spoj; i d) barem jedan polifenolni spoj odabran iz skupine koja se sastoji od epigalokatehin galata, epikatehin galata, epigalokatehina, epikatehina i katehina. Spojevi od a) do c) pojačavaju djelovanje polifenolnog spoja u blokiranju proliferacije i metastaziranja raka. One object is that the subject invention provides a nutritional pharmaceutical composition useful in the treatment of cancer, which contains: a) one ascorbic compound; b) one L-lysine compound; c) one L-proline compound; and d) at least one polyphenolic compound selected from the group consisting of epigallocatechin gallate, epicatechin gallate, epigallocatechin, epicatechin and catechin. Compounds from a) to c) enhance the action of the polyphenolic compound in blocking the proliferation and metastasis of cancer.

Pogodno, askorbinski se spoj odabire iz skupine koja se sastoji od askorbinske kiseline, farmaceutski prihvatljivih askorbatnih soli, askorbatnih estera i/ili njihove smjese. Pogodno, farmaceutski prihvatljiva askorbatna sol je kalcijev askorbat ili magnezijev askorbat. Pogodnije, askorbatni ester je askorbil palmitat. Pogodno, lizinski spoj se odabire iz skupine koja se sastoji od lizin hidroklorida i farmaceutski prihvatljivih lizinskih soli. Pogodno, prolinski spoj se odabire iz skupine koja se sastoji od prolin hidroklorida i farmaceutski prihvatljivih prolinskih soli. Suitably, the ascorbic compound is selected from the group consisting of ascorbic acid, pharmaceutically acceptable ascorbate salts, ascorbate esters and/or mixtures thereof. Conveniently, the pharmaceutically acceptable ascorbate salt is calcium ascorbate or magnesium ascorbate. More preferably, the ascorbate ester is ascorbyl palmitate. Suitably, the lysine compound is selected from the group consisting of lysine hydrochloride and pharmaceutically acceptable salts of lysine. Suitably, the proline compound is selected from the group consisting of proline hydrochloride and pharmaceutically acceptable proline salts.

Drugi je cilj, da predmetni hranjivi farmaceutski sastav nadalje sadrži neki element u tragovima odabran iz skupine koja se sastoji od selena, bakra, mangana, kalcija i magnezija. Another goal is that the nutritional pharmaceutical composition in question further contains some trace element selected from the group consisting of selenium, copper, manganese, calcium and magnesium.

Još je jedan cilj, da predmetni hranjivi farmaceutski sastav nadalje sadrži neku aminokiselinu. Pogodno, aminokiselina je arginin. Pogodnije, predmetni hranjivi farmaceutski sastav nadalje sadrži N-acetil cistein. Another goal is that the nutritional pharmaceutical composition in question further contains an amino acid. Conveniently, the amino acid is arginine. More preferably, the subject nutritional pharmaceutical composition further comprises N-acetyl cysteine.

Još je jedan cilj, da predmetni izum daje hranjivi farmaceutski sastav koristan u liječenju raka, koji sadrži: a) jedan askorbinski spoj; b) jedan L-lizinski spoj; c) jedan L-prolinski spoj; d) N-acetil cistein; i e) barem jedan polifenolni spoj odabran iz skupine koja se sastoji od epigalokatehin galata, epikatehin galata, epigalokatehina, epikatehina i katehina. Spojevi a) do d) pojačavaju djelovanje polifenolnog spoja u blokiranju proliferacije i metastaziranja raka. Another goal is that the present invention provides a nutritional pharmaceutical composition useful in the treatment of cancer, which contains: a) one ascorbic compound; b) one L-lysine compound; c) one L-proline compound; d) N-acetyl cysteine; and e) at least one polyphenolic compound selected from the group consisting of epigallocatechin gallate, epicatechin gallate, epigallocatechin, epicatechin and catechin. Compounds a) to d) enhance the action of the polyphenol compound in blocking the proliferation and metastasis of cancer.

Još je jedan cilj, da predmetni izum daje hranjivi farmaceutski sastav koji sadrži 250 mg askorbinske kiseline, 250 mg kalcijevog askorbata, 250 mg magnezijevog askorbata, 250 mg askorbil palmitata, 1000 mg polifenola, 200 mg N-acetil-cisteina, 1000 mg lizina, 750 mg prolina, 500 mg arginina, 30 mcg selena, 2 mg bakra i 1 mg mangana. Another goal is that the present invention provides a nutritional pharmaceutical composition containing 250 mg of ascorbic acid, 250 mg of calcium ascorbate, 250 mg of magnesium ascorbate, 250 mg of ascorbyl palmitate, 1000 mg of polyphenols, 200 mg of N-acetyl-cysteine, 1000 mg of lysine, 750 mg proline, 500 mg arginine, 30 mcg selenium, 2 mg copper and 1 mg manganese.

Još je jedan cilj, da predmetni izum daje hranjivi farmaceutski sastav koji sadrži 25 mg askorbinske kiseline, 25 mg kalcijevog askorbata, 25 mg magnezijevog askorbata, 25 mg askorbil palmitata, 200 mg polifenola, 10 mg N-acetil-cisteina, 50 mg lizina, 25 mg prolina, 50 mg arginina, 1 mcg selena, 20 mcg bakra i 50 mcg mangana. Another goal is that the present invention provides a nutritional pharmaceutical composition containing 25 mg of ascorbic acid, 25 mg of calcium ascorbate, 25 mg of magnesium ascorbate, 25 mg of ascorbyl palmitate, 200 mg of polyphenols, 10 mg of N-acetyl-cysteine, 50 mg of lysine, 25 mg proline, 50 mg arginine, 1 mcg selenium, 20 mcg copper and 50 mcg manganese.

Još je jedan cilj, da predmetni izum daje hranjivi farmaceutski sastav koji sadrži 5000 mg askorbinske kiseline, 5000 mg kalcijevog askorbata, 5000 mg magnezijevog askorbata, 5000 mg askorbil palmitata, 5000 mg polifenola, 1500 mg N-acetil-cisteina, 5000 mg lizina, 3000 mg prolina, 3000 mg arginina, 200 mcg selena, 9 mg bakra i 10 mg mangana. Another goal is that the present invention provides a nutritional pharmaceutical composition containing 5000 mg of ascorbic acid, 5000 mg of calcium ascorbate, 5000 mg of magnesium ascorbate, 5000 mg of ascorbyl palmitate, 5000 mg of polyphenols, 1500 mg of N-acetyl-cysteine, 5000 mg of lysine, 3000 mg proline, 3000 mg arginine, 200 mcg selenium, 9 mg copper and 10 mg manganese.

Još je jedan cilj, da predmetni izum daje hranjivi farmaceutski sastav koji sadrži 250 mg askorbinske kiseline, 250 mg kalcijevog askorbata, 250 mg magnezijevog askorbata, 250 mg askorbil palmitata, 1000 mg polifenola, 200 mg N-acetil-cisteina, 1000 mg lizina, 750 mg prolina, 500 mg arginina, 100 mcg selena, 2 mg bakra, 1 mg mangana, 500 mg kalcija i 400 mg magnezija. Another goal is that the present invention provides a nutritional pharmaceutical composition containing 250 mg of ascorbic acid, 250 mg of calcium ascorbate, 250 mg of magnesium ascorbate, 250 mg of ascorbyl palmitate, 1000 mg of polyphenols, 200 mg of N-acetyl-cysteine, 1000 mg of lysine, 750 mg proline, 500 mg arginine, 100 mcg selenium, 2 mg copper, 1 mg manganese, 500 mg calcium and 400 mg magnesium.

Još je jedan cilj, da predmetni izum daje hranjivi farmaceutski sastav koji sadrži 250 mg askorbinske kiseline, 250 mg kalcijevog askorbata, 250 mg magnezijevog askorbata, 250 mg askorbil palmitata, 1000 mg polifenola, 200 mg N-acetil-cisteina, 1000 mg lizina, 750 mg prolina, 500 mg arginina, 100 mcg selena, 2 mg bakra, 1 mg mangana, 500 mg kalcija, 400 mg magnezija i 200 mg citrusnih bioflavonoida. Another goal is that the present invention provides a nutritional pharmaceutical composition containing 250 mg of ascorbic acid, 250 mg of calcium ascorbate, 250 mg of magnesium ascorbate, 250 mg of ascorbyl palmitate, 1000 mg of polyphenols, 200 mg of N-acetyl-cysteine, 1000 mg of lysine, 750 mg proline, 500 mg arginine, 100 mcg selenium, 2 mg copper, 1 mg manganese, 500 mg calcium, 400 mg magnesium and 200 mg citrus bioflavonoids.

Još je jedan cilj, da predmetni izum daje hranjivi farmaceutski sastav koristan u liječenju raka, koji sadrži: L-lizin, L-prolin, L-arginin, askorbinsku kiselinu, kalcij, magnezij, polifenole, N-acetil-cistein, selen, bakar i mangan. Another goal is that the present invention provides a nutritional pharmaceutical composition useful in the treatment of cancer, which contains: L-lysine, L-proline, L-arginine, ascorbic acid, calcium, magnesium, polyphenols, N-acetyl-cysteine, selenium, copper and manganese.

Još je jedan cilj, da predmetni izum daje hranjivi farmaceutski sastav koji sadrži 1000 mg L-lizina, 750 mg L-prolina, 500 mg L-arginina, 710 mg askorbinske kiseline, 22 mg kalcija, 50 mg magnezija, 1000 mg polifenola, 200 mg N-acetil-cisteina, 30 mcg selena, 2 mg bakra i 1 mg mangana. Another goal is that the present invention provides a nutritional pharmaceutical composition containing 1000 mg of L-lysine, 750 mg of L-proline, 500 mg of L-arginine, 710 mg of ascorbic acid, 22 mg of calcium, 50 mg of magnesium, 1000 mg of polyphenols, 200 mg of N-acetyl-cysteine, 30 mcg of selenium, 2 mg of copper and 1 mg of manganese.

Još je jedan cilj, da predmetni izum daje postupak za liječenje raka u nekog pojedinca, koji sadrži stupanj davanja tom pojedincu hranjivog farmaceutskog sastava kako je otkriven. Pogodno, rak se odabire iz grupe koja se sastoji od melanomskog raka, raka dojke, raka debelog crijeva, raka pluća i raka mozga. It is yet another object that the subject invention provides a method for treating cancer in an individual, comprising the step of administering to that individual a nutritional pharmaceutical composition as disclosed. Suitably, the cancer is selected from the group consisting of melanoma cancer, breast cancer, colon cancer, lung cancer and brain cancer.

Još je jedan cilj, da predmetni izum daje postupak za liječenje neke upalne bolesti u pojedinca, koji sadrži stupanj davanja tom pojedincu hranjivog farmaceutskog sastava kako je otkriven. Pogodno, upalna bolest je osteoartritis. Another object is that the subject invention provides a method for treating an inflammatory disease in an individual, which includes the step of administering to that individual a nutritional pharmaceutical composition as disclosed. Conveniently, the inflammatory disease is osteoarthritis.

Kratki opis crteža Brief description of the drawing

Slika 1 prikazuje inhibitorske efekte polifenola, askorbata, prolina i lizina na migracijsko ponašanje stanica raka dojke u ljudi. Figure 1 shows the inhibitory effects of polyphenols, ascorbate, proline and lysine on the migratory behavior of human breast cancer cells.

Slika 2 prikazuje inhibitorske efekte polifenola, askorbata, prolina i lizina na migracijsko ponašanje stanica raka debelog crijeva u ljudi. Figure 2 shows the inhibitory effects of polyphenols, ascorbate, proline and lysine on the migration behavior of colon cancer cells in humans.

Slika 3 prikazuje inhibitorske efekte polifenola, askorbata, prolina i lizina na migracijsko ponašanje ljudskih melanomskih stanica. Figure 3 shows the inhibitory effects of polyphenols, ascorbate, proline and lysine on the migration behavior of human melanoma cells.

Slika 4 prikazuje inhibitorske efekte polifenola, askorbata, prolina i lizina na apoptozu ljudskih melanomskih stanica. Figure 4 shows the inhibitory effects of polyphenols, ascorbate, proline and lysine on the apoptosis of human melanoma cells.

Slika 5 prikazuje inhibitorske efekte askorbinske kiseline, prolina, lizina i različitih količina EGCG na staničnu proliferaciju ljudskih melanomskih stanica (A 2058). Figure 5 shows the inhibitory effects of ascorbic acid, proline, lysine and different amounts of EGCG on cell proliferation of human melanoma cells (A 2058).

Slika 6 prikazuje inhibitorske efekte EGCG na staničnu proliferaciju ljudskih stanica raka dojke (MDA-MB 231). Figure 6 shows the inhibitory effects of EGCG on cell proliferation of human breast cancer cells (MDA-MB 231).

Slika 7 prikazuje efekte suplementiranja (obogaćivanja) bazalnog medija askorbinskom kiselinom, prolinom, lizinom i različitim količinama EGCG na staničnu proliferaciju ljudskih stanica raka dojke (MDA-MB 231). Figure 7 shows the effects of supplementation (enrichment) of the basal medium with ascorbic acid, proline, lysine and different amounts of EGCG on cell proliferation of human breast cancer cells (MDA-MB 231).

Slika 8 prikazuje efekte suplementiranja bazalnog medija askorbinskom kiselinom, prolinom, lizinom i različitim količinama EGCG na staničnu proliferaciju ljudskih stanica raka debelog crijeva (HCT 116). Figure 8 shows the effects of supplementing the basal medium with ascorbic acid, proline, lysine and different amounts of EGCG on cell proliferation of human colon cancer cells (HCT 116).

Slika 9 prikazuje efekte suplementiranja bazalnog medija askorbinskom kiselinom, prolinom, lizinom i različitim količinama EGCG na ekspresiju metaloproteinaza matriksa (MMP) u ljudskim stanicama melanoma. Figure 9 shows the effects of supplementing the basal medium with ascorbic acid, proline, lysine and different amounts of EGCG on the expression of matrix metalloproteinases (MMPs) in human melanoma cells.

Slika 10 prikazuje efekte suplementiranja bazalnog medija askorbinskom kiselinom, prolinom, lizinom i različitim količinama EGCG na Matrigel - invaziju ljudskim stanicama raka dojke (MDA-MB 231). Figure 10 shows the effects of supplementing the basal medium with ascorbic acid, proline, lysine and different amounts of EGCG on Matrigel invasion by human breast cancer cells (MDA-MB 231).

Slika 11 prikazuje efekte suplementiranja bazalnog medija askorbinskom kiselinom, prolinom, lizinom i različitim količinama EGCG na Matrigel - invaziju ljudskim stanicama raka debelog crijeva (HTC 116). Figure 11 shows the effects of supplementing the basal medium with ascorbic acid, proline, lysine and different amounts of EGCG on Matrigel invasion by human colon cancer cells (HTC 116).

Slika 12 prikazuje efekte suplementiranja bazalnog medija askorbinskom kiselinom, prolinom, lizinom i različitim količinama EGCG na smanjenje broja invazivnih stanica kod ljudskih melanomskih stanica (A 2058). Figure 12 shows the effects of supplementing the basal medium with ascorbic acid, proline, lysine and different amounts of EGCG on reducing the number of invasive cells in human melanoma cells (A 2058).

Detaljni opis izuma Detailed description of the invention

Kako se koristi ovdje, "lizin" se koristi međusobno izmjenjivo s L-lizinom, "prolin" se koristi međusobno izmjenjivo s L-prolinom, "arginin" se koristi međusobno izmjenjivo s "L-argininom"; "vitamin C" se koristi međusobno izmjenjivo s askorbinskom kiselinom i može uključivati askorbatne soli ili askorbatne estere. "MMP-e" se odnose na metaloproteinaze matriksa; na pr. MMP-1, MMP-2, MMP-3, MMP-4, MMP-5, MMP-6, MMP-7, MMP-8, MMP-9, MMP-10, MMP-11 i t.d. "EGCG" se odnosi na (-)-epigalokatehin-3-galat koji je glavni polifenolni sastojak prisutan u zelenom čaju. "NHDF" se odnosi na normalni ljudski kožni fibroblast (Normal Human Dermal Fibroblast), uključujući ljudske hondrocite i ljudske stanice strome. As used herein, "lysine" is used interchangeably with L-lysine, "proline" is used interchangeably with L-proline, "arginine" is used interchangeably with "L-arginine"; "vitamin C" is used interchangeably with ascorbic acid and may include ascorbate salts or ascorbate esters. "MMPs" refer to matrix metalloproteinases; for example MMP-1, MMP-2, MMP-3, MMP-4, MMP-5, MMP-6, MMP-7, MMP-8, MMP-9, MMP-10, MMP-11, etc. "EGCG" refers to (-)-epigallocatechin-3-gallate which is the main polyphenolic ingredient present in green tea. "NHDF" refers to normal human dermal fibroblast (Normal Human Dermal Fibroblast), including human chondrocytes and human stromal cells.

Predmetni izum daje hranjivi farmaceutski sastav koji sadrži askorbinsku kiselinu, lizin, prolin i barem jedan polifenolni spoj. Pogodno, askorbinski spoj se odabire iz skupine koja se sastoji od askorbinske kiseline, askorbatnih soli i askorbatnih estera. Pogodno, lizin je lizin hidroklorid ili farmaceutski prihvatljive lizinske soli. Pogodno, prolin je prolin hidroklorid ili njegove farmaceutski prihvatljive prolinske soli. The present invention provides a nutritional pharmaceutical composition containing ascorbic acid, lysine, proline and at least one polyphenolic compound. Suitably, the ascorbic compound is selected from the group consisting of ascorbic acid, ascorbate salts and ascorbate esters. Suitably, the lysine is lysine hydrochloride or pharmaceutically acceptable salts of lysine. Suitably, the proline is proline hydrochloride or pharmaceutically acceptable proline salts thereof.

Polifenolni spojevi su ekstrakti zelenog čaja. Oni su također poznati kao katehini. Polifenoli su prisutni u zelenom čaju i za njih se pretpostavljalo da daju zaštitu protiv različitih oboljenja uključujući rak (Mukhtar H., Ahmed N. Am. J. Clin. Nutr. 71:1698S-1702S (2000). Oralno davanje zelenog čaja pojačava efekte inhibiranja tumora uzrokovanog doksorubicinom u miševa. Potencijalno antikancerozno djelovanje katehina može se odnositi na njihove učinke na nekoliko faktora uključenih u proliferaciju stanica raka i njihovo metastaziranje. Za katehine je poznato da uzrokuju arest staničnog ciklusa u ljudskim karcinoma stanicama (Ahmad N., Feyes D.K., Nieminen A.L., Agarwal R., Mukhtar H.J. Natl. Cancer. Inst. 89: 1881-1886 (1997). Polifenolna frakcija iz zelenog čaja također se implicira da štiti od upale i citokina induciranih tumorima. Polyphenolic compounds are green tea extracts. They are also known as catechins. Polyphenols are present in green tea and have been hypothesized to confer protection against various diseases including cancer (Mukhtar H., Ahmed N. Am. J. Clin. Nutr. 71:1698S-1702S (2000). Oral administration of green tea enhances the effects inhibition of tumors caused by doxorubicin in mice. The potential anticancer activity of catechins may be related to their effects on several factors involved in the proliferation of cancer cells and their metastasis. Catechins are known to cause cell cycle arrest in human cancer cells (Ahmad N., Feyes D.K., Nieminen A.L., Agarwal R., Mukhtar H.J. Natl. Cancer. Inst. 89: 1881-1886 (1997). A polyphenolic fraction from green tea has also been implicated in protecting against tumor-induced inflammation and cytokines.

Polifenolni spojevi predstavljaju 30% suhe težine zelenog čaja. Oni uključuju flavanole, flavandiole, flavonoide i fenolne kiseline. Flavanoli su najobilniji među polifenolima u zelenom čaju i opće su poznati kao katehini. U zelenom čaju postoje četiri glavna katehina: 1) (-)-epikatehin, 2) (-)-epikatehin-3-galat, 3) (-)-epigalokatehin i 4) (-)-epigalokatehin-3-galat (EGCG). Među katehinima, EGCG je glavni polifenolni sastojak prisutan u zelenom čaju. EGCG je potentan antioksidativni spoj i može doprinijeti antikanceroznom djelovanju zelenog čaja. Za katehinske spojeve se izvještavalo, da provode svoje antimetastatsko djelovanje sprječavanjem procesa angiogeneze (Cao Y., Cao R. Nature 398:381 (1999)). Za EGCG je također pokazano da interferira s djelovanjem urokinaze (u-plasminogen aktivator) (Jankun J., Selman S.H., Swiercz R., Skrzypczak J.E. Nature: 387-567 (1997), jednim od najčešće eksprimiranih enzima u ljudskih rakova. EGCG je pogodan polifenolni spoj. Polyphenolic compounds represent 30% of the dry weight of green tea. They include flavanols, flavanediols, flavonoids and phenolic acids. Flavanols are the most abundant polyphenols in green tea and are commonly known as catechins. There are four main catechins in green tea: 1) (-)-epicatechin, 2) (-)-epicatechin-3-gallate, 3) (-)-epigallocatechin, and 4) (-)-epigallocatechin-3-gallate (EGCG). . Among the catechins, EGCG is the main polyphenolic constituent present in green tea. EGCG is a potent antioxidant compound and may contribute to the anticancer effects of green tea. Catechin compounds have been reported to exert their antimetastatic effect by preventing the angiogenesis process (Cao Y., Cao R. Nature 398:381 (1999)). EGCG has also been shown to interfere with the action of urokinase (u-plasminogen activator) (Jankun J., Selman S.H., Swiercz R., Skrzypczak J.E. Nature: 387-567 (1997), one of the most commonly expressed enzymes in human cancers. EGCG is suitable polyphenol compound.

Pogodno, polifenolni spoj se odabire iz skupine koja se sastoji od epigalokatehin galata, epikatehin galata, epigalokatehina, epikatehina, katehina i drugih farmaceutski prihvatljivih polifenolnih soli i/ili njihovih smjesa. Suitably, the polyphenolic compound is selected from the group consisting of epigallocatechin gallate, epicatechin gallate, epigallocatechin, epicatechin, catechin and other pharmaceutically acceptable polyphenolic salts and/or mixtures thereof.

Jedan od glavnih terapeutskih ciljeva ove patentne prijave je prevencija digestije ekstracelularnog matriksa i njegova obnova. Askorbinska kiselina ili njena sol (t.j. askorbat) su potrebni za sintezu kolagena, elastina i drugih ključnih molekula ekstracelularnog matriksa. One of the main therapeutic goals of this patent application is the prevention of digestion of the extracellular matrix and its restoration. Ascorbic acid or its salt (i.e. ascorbate) is necessary for the synthesis of collagen, elastin and other key molecules of the extracellular matrix.

Pogodno, jedna kombinacija askorbinske kiseline, prolina i lizina se koristi da pojača antikancerozno djelovanje polifenolnih spojeva. Pogodnije, ta kombinacija pojačava polifenolne spojeve uključujući epigalokatehin galat, epikatehin galat, epigalokatehin, epikatehin i katehin na takav način, da je taj polifenolni spoj učinkovit u smanjivanju invazije stanica raka ili potpunom blokiranju invazije. Conveniently, a combination of ascorbic acid, proline and lysine is used to enhance the anticancer activity of the polyphenolic compounds. More preferably, the combination enhances polyphenolic compounds including epigallocatechin gallate, epicatechin gallate, epigallocatechin, epicatechin and catechin in such a way that the polyphenolic compound is effective in reducing cancer cell invasion or completely blocking invasion.

Bez ograničenja ikakvom teorijom, predmetna hranjiva farmaceutska formulacija sadrži smjesu sastojaka uključujući polifenole i za tu smjesu je pronađeno da učinkovito funkcionira u blokiranju proliferacije i procesa metastaziranja. Pronašli smo, da predmetni sastav hranjive formulacije značajno smanjuje invaziju stanica raka ili potpuno blokira metastaziranje stanica raka. Stoga, ovaj sastav učinkovito je spriječio stanice raka da se šire. Terapeutska uporaba ovog spoja za kojeg se zahtijeva zaštita, je učinkovito, selektivno i sigurno liječenje za rak dojke, debelog crijeva i drugih organa. Pogodno, otkriveni hranjivi farmacutski sastav može sadržavati dvije od ovih komponenata koje su kovalentno vezane. Without being limited by any theory, the subject nutritional pharmaceutical formulation contains a mixture of ingredients including polyphenols and this mixture has been found to function effectively in blocking the proliferation and metastasis process. We found that the subject composition of the nutritional formulation significantly reduces the invasion of cancer cells or completely blocks the metastasis of cancer cells. Therefore, this composition effectively prevented cancer cells from spreading. The therapeutic use of this patent-pending compound is an effective, selective and safe treatment for breast, colon and other organ cancers. Conveniently, the disclosed nutritional pharmaceutical composition may contain two of these components which are covalently linked.

Pogodno, učinkovitost hranjivog sastava se povećava uključivanjem spojeva poznatih da blagotvorno utječu na rast i invaziju raka i drugih tumora, uključujući L-arginin i/ili spojeve koji sadrže arginin. Pogodnije, koristi se N-acetil-cistein. Još pogodnije, koriste se neka selenova sol, neka bakarna sol i neka manganova sol, koje su učinkovite da spriječe i liječe rak i druge tumore. Ovaj sastav može također uključiti jedan ili više spojeva potrebnih kao neki koenzim u Krebsovom ciklusu, respiratornom lancu, ili za druge metaboličke funkcije stanica u nekoj količini koja je učinkovita da spriječi i liječi rak i druge tumore. Conveniently, the efficacy of the nutritional composition is enhanced by the inclusion of compounds known to beneficially affect the growth and invasion of cancer and other tumors, including L-arginine and/or arginine-containing compounds. More conveniently, N-acetyl-cysteine is used. More conveniently, some selenium salt, some copper salt and some manganese salt are used, which are effective in preventing and treating cancer and other tumors. This composition may also include one or more compounds required as a coenzyme in the Krebs cycle, respiratory chain, or other metabolic functions of cells in an amount effective to prevent and treat cancer and other tumors.

Predmetni se hranjivi farmaceutski sastav može davati pacijentu u obliku kapsula, tableta, praškova, pilula, injekcija, infuzija, inhalacija, supozitorija ili drugih farmaceutski prihvatljivih nosilaca i/ili sredstava za predaju, za sprječavanje i liječenje raka i drugih tumora. Pogodno, hranjivi se farmaceutski sastav daje kao kapsule, tablete ili praškovi. Pogodnije, on se daje kao kapsule. The nutritional pharmaceutical composition in question can be administered to the patient in the form of capsules, tablets, powders, pills, injections, infusions, inhalations, suppositories or other pharmaceutically acceptable carriers and/or means of delivery, for the prevention and treatment of cancer and other tumors. Conveniently, the nutritional pharmaceutical composition is administered as capsules, tablets or powders. More conveniently, it is given as capsules.

Predmetni se hranjivi farmaceutski sastav može koristiti u sprječavanju i liječenju raka i drugih tumora u odabranog pacijenta, gdje je tumor ili rak smješten u dojci, jajnicima, grliću maternice i drugim organima ženskog reproduktivnog sistema, plućima, jetri, koži, gastrointestinalnom sistemu, mozgu, kostima ili drugim organima tijela. Pogodno, sastav se koristi za rak pluća i rak mozga. The nutritional pharmaceutical composition in question can be used in the prevention and treatment of cancer and other tumors in a selected patient, where the tumor or cancer is located in the breast, ovaries, cervix and other organs of the female reproductive system, lungs, liver, skin, gastrointestinal system, brain, bones or other body organs. Suitably, the composition is used for lung cancer and brain cancer.

Predmetni se hranjivi farmaceutski sastav također može koristiti u sprječavanju i liječenju infektivnih bolesti, ateroskleroze, restenoze, drugih kardiovaskularnih bolesti i upalnih bolesti. Pogodno, upalna bolest je osteoartritis. The nutritional pharmaceutical composition in question can also be used in the prevention and treatment of infectious diseases, atherosclerosis, restenosis, other cardiovascular diseases and inflammatory diseases. Conveniently, the inflammatory disease is osteoarthritis.

MMP-om posredovana aktivacija plazmina: Spekulira se, da se na djelovanje MMP-a može utjecati lizinom preko mehanizama posredovanih plazminom, premda drugi mehanizmi nisu isključeni. MMP-e se izlučuju kao proenzimi i njihova aktivacija je posredovana djelomično plazminom i njeno završavanje traži aktivni oblik MMP-3. Mehanizam aktivacije različitih MMP-a kojeg je potanko opisao Nagase (1997), ukazuje da MMP-3 također traži konverziju plazminogena u njegov aktivni oblik, plazmin. Aktivni centar za vezivanje plazminogena ima mjesta gdje se specifično vezuje lizin. Zbog toga lizin može interferirati s aktivacijom plazminogena u plazmin pomoću aktivatora plazminogena (Rath i Pauling, 1992), baš vezivanjem na aktivna mjesta plazminogena. Traneksamička kiselina, jedan sintetski analog lizina, bila je upotrebljena da inhibira plazminom induciranu proteolizu posredstvom ovog mehanizma. MMP-mediated plasmin activation: It is speculated that MMP activity may be influenced by lysine through plasmin-mediated mechanisms, although other mechanisms have not been ruled out. MMPs are secreted as proenzymes and their activation is partially mediated by plasmin and its termination requires the active form of MMP-3. The mechanism of activation of various MMPs, described in detail by Nagase (1997), indicates that MMP-3 also requires the conversion of plasminogen to its active form, plasmin. The active center for plasminogen binding has sites where lysine specifically binds. Therefore, lysine can interfere with the activation of plasminogen into plasmin by plasminogen activator (Rath and Pauling, 1992), precisely by binding to the active sites of plasminogen. Tranexamic acid, a synthetic analog of lysine, has been used to inhibit plasmin-induced proteolysis through this mechanism.

Budući da je djelovanje plazmina bitno za induciranje nekoliko tkivnih MMP-a, lizin može interferirati s konverzijom plazminogena u plazmin i time on može inhibirati aktiviranje gotovo svih MMP-a. Uz to, EGCG može vršiti inhibitorski efekt na degradaciju ekstracelularnog matriksa putem inhibicije MMP-2. Since the action of plasmin is essential for inducing several tissue MMPs, lysine can interfere with the conversion of plasminogen to plasmin and thus it can inhibit the activation of almost all MMPs. In addition, EGCG can exert an inhibitory effect on the degradation of the extracellular matrix by inhibiting MMP-2.

Invazija raka i uloga matriksa: Na invaziju stanica raka u matriks moguće je također utjecati povećavanjem stabilnosti i čvrstoće vezivnog tkiva koje okružuje stanice raka i doprinoseći "inkapsulaciji" tumora. Ovo zahtijeva optimiziranje sinteze i strukture kolagenskih vlakana, za što je bitna hidroksilacija ostataka hidroksiprolina i hidroksilizina u kolagenskim vlaknima. Askorbinska kiselina može biti bitna za hidroksilaciju ovih aminokiselina. Askorbinska kiselina i L-lizin se normalno ne proizvode u ljudskom tijelu; zbog toga, suboptimalna razina ovih hranjiva moguća je u različitim patološkim fazama kao i zbog neodgovarajućih dijeta. Premda se prolin može sintetizirati iz arginina, njegova sinteza i/ili hidroksilacija može biti pogođena u patološkim uvjetima. Kao takvo, pokazano je da je sadržaj hidroksiprolina metastatskog tumorskog tkiva mnogo niži nego u ne-metastatskom tumorskom tkivu (Chubinskaia et al, 1989). Različiti lijekovi koji smanjuju metastaze također su povećali sadržaj hidroksiprolina u tim tkivima (Chubinskaia et al., 1989). Za urinarni sadržaj hidroksiprolina u pacijenata s rakom pronađeno je da je viši nego u zdravih osoba ili u pacijenata bez raka (Okazaki et al., 1992). Svi ovi nalazi sugeriraju štetne učinke stanica raka na metabolizam prolina i moguće uvjetovano pomanjkanje prolina u pacijenata s rakom. Cancer invasion and the role of the matrix: It is also possible to influence the invasion of cancer cells into the matrix by increasing the stability and strength of the connective tissue surrounding the cancer cells and contributing to the "encapsulation" of the tumor. This requires optimizing the synthesis and structure of collagen fibers, for which the hydroxylation of hydroxyproline and hydroxylysine residues in collagen fibers is essential. Ascorbic acid may be essential for the hydroxylation of these amino acids. Ascorbic acid and L-lysine are not normally produced in the human body; therefore, suboptimal levels of these nutrients are possible in different pathological stages as well as due to inappropriate diets. Although proline can be synthesized from arginine, its synthesis and/or hydroxylation may be affected under pathological conditions. As such, the hydroxyproline content of metastatic tumor tissue has been shown to be much lower than in non-metastatic tumor tissue (Chubinskaia et al, 1989). Various drugs that reduce metastasis also increased the hydroxyproline content of these tissues (Chubinskaia et al., 1989). Urinary hydroxyproline content in cancer patients was found to be higher than in healthy individuals or in non-cancer patients (Okazaki et al., 1992). All these findings suggest adverse effects of cancer cells on proline metabolism and possible conditional proline deficiency in cancer patients.

Pacijenti s rakom mogu imati nedovoljne razine askorbinske kiseline. Askorbinska kiselina može biti citotoksična za maligne stanične linije i vršiti antimetastatsko djelovanje. Predmetni izum otkriva, da jedna kombinacija askorbinske kiseline, prolina, lizina i barem jednog polifenolnog spoja vrši snažan antiproliferativni i antimetastatski učinak na stanične linije raka. Pogodno, predmetna hranjiva farmaceutska formulacija je učinkovita protiv stanica melanoma, raka dojke i raka debelog crijeva. Najpogodnije, predmetna farmaceutska formulacija je učinkovita protiv stanica raka ljudskog debelog crijeva. Cancer patients may have insufficient levels of ascorbic acid. Ascorbic acid can be cytotoxic to malignant cell lines and exert an antimetastatic effect. The present invention reveals that a combination of ascorbic acid, proline, lysine and at least one polyphenolic compound exerts a strong antiproliferative and antimetastatic effect on cancer cell lines. Suitably, the subject nutritive pharmaceutical formulation is effective against melanoma, breast cancer and colon cancer cells. Most preferably, the subject pharmaceutical formulation is effective against human colon cancer cells.

Polifenolni spojevi (katehini): EGCG predstavljaju jedan od katehina u ekstraktu zelenog čaja i mogu imati učinke inhibicije rasta protiv ljudskih stanica raka. Polyphenolic compounds (catechins): EGCG is one of the catechins in green tea extract and may have growth inhibitory effects against human cancer cells.

Točan temeljni mehanizam je nejasan. Predmetni izum otkriva iznenađujuću sinergiju u hranjivoj farmaceutskoj formulaciji koja sadrži askorbinsku kiselinu, prolin i lizin, te barem jedan polifenolni spoj u učinkovitom blokiranju proliferacije i metastaziranja stanica raka. The exact underlying mechanism is unclear. The present invention reveals a surprising synergy in a nutritional pharmaceutical formulation containing ascorbic acid, proline and lysine, and at least one polyphenolic compound in effectively blocking the proliferation and metastasis of cancer cells.

Hranjivi farmaceutski sastav po predmetnom izumu učinkovito blokira invaziju raka dojke, debelog crijeva, kože (melanoma) i drugih oblika raka. Prisutni sastojci u hranjivoj formulaciji su prirodno prisutni spojevi; i kada se koriste u zahtijevanom rasponu kako se otkriva u prijavi, pokazuje se da oni nemaju nikakve toksične nuspojave. Na taj način, ovaj se sastav može također koristiti profilaktički, t.j. za učinkovitu prevenciju raka i drugih tumora u tijelu. The nutritious pharmaceutical composition according to the subject invention effectively blocks the invasion of breast cancer, colon cancer, skin (melanoma) and other forms of cancer. The ingredients present in the nutritional formulation are naturally occurring compounds; and when used in the required range as disclosed in the application, they are shown to have no toxic side effects. In this way, this composition can also be used prophylactically, i.e. for effective prevention of cancer and other tumors in the body.

Budući da virusne stanice i drugi invazivni mikroorganizmi koriste slične proteaze kao i stanice raka za širenje infekcije u tijelu, ovaj sastav za koji se traži zaštita u ovom patentu, može se koristiti za učinkovitu prevenciju i liječenje virusnih bolesti i drugih infektivnih bolesti. Since virus cells and other invasive microorganisms use similar proteases as cancer cells to spread infection in the body, this composition claimed in this patent can be used for effective prevention and treatment of viral diseases and other infectious diseases.

Sličan mehanizam aktiviranja metaloproteinaza matriksa koje stanice raka koriste za invaziju u ekstracelularni matriks, također doprinosi destabilizaciji aterosklerotičkih plakova koji dovode do infarkta miokarda i moždanog udara. Zbog toga se ovaj sastav, za koji se traži zaštita u ovom patentu, može također koristiti za učinkovitu prevenciju i liječenje ateroskleroze, restenoze i drugih kardiovaskularnih komplikacija. A similar mechanism of activation of matrix metalloproteinases, which cancer cells use to invade the extracellular matrix, also contributes to the destabilization of atherosclerotic plaques that lead to myocardial infarction and stroke. Therefore, this composition, for which protection is sought in this patent, can also be used for effective prevention and treatment of atherosclerosis, restenosis and other cardiovascular complications.

Aktiviranje metaloproteinaza matriksa, koje stanice raka koriste za invaziju u matriks, je ključna komponenta u različitim upalnim stanjima. Zbog toga se sastav za koji se traži zaštita u ovom patentu, može također koristiti za učinkovitu prevenciju i liječenje bolesti, kao što su reumatoidni artritis, emfizem, alergije, osteoartritis, te drugih stanja koji uključuju upalne aspekte. Activation of matrix metalloproteinases, which cancer cells use to invade the matrix, is a key component in various inflammatory conditions. Therefore, the composition claimed in this patent can also be used for the effective prevention and treatment of diseases such as rheumatoid arthritis, emphysema, allergies, osteoarthritis, and other conditions involving inflammatory aspects.

Hranjivi farmaceutski sastav po ovom izumu može se davati pacijentu u obliku tableta, pilula, injekcija, infuzija, inhalacija, supozitorija ili drugih farmaceutski prihvatljivih nosilaca i/ili načina davanja. The nutritional pharmaceutical composition according to this invention can be administered to the patient in the form of tablets, pills, injections, infusions, inhalations, suppositories or other pharmaceutically acceptable carriers and/or methods of administration.

PRIMJERI EXAMPLES

Učinci askorbinske kiseline, lizina, prolina i barem jednog polifenolnog spoja proučavani su s obzirom na njihov anti-proliferativni i anti-invazivni potencijal u raznim ljudskim staničnim linijama raka. Osobito se ispitivao jedan sastojak ekstrakta zelenog čaja (t.j. epigalokatehin galat (Epigallochatechin Gallate, EGCG)). The effects of ascorbic acid, lysine, proline and at least one polyphenolic compound have been studied for their anti-proliferative and anti-invasive potential in various human cancer cell lines. One component of green tea extract (i.e. Epigallocatechin Gallate, EGCG) was investigated in particular.

Materijali i postupci Materials and procedures

Stanice ljudskog raka dojke MDA-MB-231, stanice ljudskog raka debelog crijeva HCT116, stanična linija ljudskog melanoma A2058 pribavljene su od ATCC. Normalni ljudski kožni fibroblasti pribavljeni su od GICBO. Gdje nije označeno, korišteni su mediji za kulturu stanica dobavljeni od ATCC. Human breast cancer cells MDA-MB-231, human colon cancer cells HCT116, human melanoma cell line A2058 were obtained from ATCC. Normal human skin fibroblasts were obtained from GICBO. Where not noted, cell culture media supplied by ATCC were used.

U proučavanjima proliferacije stanica raka svaka je obrada ponovljena osam puta. U pokusima invazije, svaka obrada je izvedena tri ili četiri puta. In studies of cancer cell proliferation, each treatment was repeated eight times. In the invasion experiments, each treatment was performed three or four times.

Studije proliferacije stanica Cell proliferation studies

U ovim istraživanjima 5 × 104 stanica raka dojke uzgojeno je u Liebovitz-ovom mediju uz 10% fetalnog telećeg seruma (Fetal Bovine Serum, FBS) na pločama s 24 bunarića. Medij je upotrebljen kao takav (bazalni) ili s označenim suplementima (obogaćivanjem). Ploče su inkubirane u inkubatoru sa zračnom cirkulacijom (bez dodatnog CO2) tijekom četiri dana. Stanice raka debelog crijeva HCT 116 uzgojene su u McCoy-evom 5A mediju i održavane u jednom inkubatoru s 5% CO2 uz cirkulaciju zraka. Na kraju inkubacijskog perioda, medij je uklonjen, a stanice u bunarićima su oprane s PBS, čemu je slijedila inkubacija MTT bojom tijekom 3 sata. Svakom bunariću dodan je dimetil sulfoksid (DMSO, 1 ml). Ploče s DMSO su ostavljene da stoje pri sobnoj temperaturi tijekom 15 minuta uz blago potresanje, a zatim se OD otopine u svakom bunariću mjerila na 550 nm. Za OD550 DMSO otopine u bunariću smatralo se da je direktno proporcionalna s brojem stanica. OD550 obrade koja nije sadržavala nikakav suplement (bazalni) smatrala se kao 100. In these studies, 5 × 104 breast cancer cells were grown in Liebovitz's medium with 10% fetal bovine serum (FBS) in 24-well plates. The medium was used as such (basal) or with indicated supplements (enrichment). The plates were incubated in an incubator with air circulation (without additional CO2) for four days. HCT 116 colon cancer cells were grown in McCoy's 5A medium and maintained in a 5% CO2 incubator with air circulation. At the end of the incubation period, the medium was removed and the cells in the wells were washed with PBS, followed by incubation with MTT dye for 3 hours. Dimethyl sulfoxide (DMSO, 1 ml) was added to each well. DMSO plates were allowed to stand at room temperature for 15 min with gentle shaking, and then the OD of the solution in each well was measured at 550 nm. The OD550 of the DMSO solution in the well was considered to be directly proportional to the number of cells. The OD550 of the treatment that did not contain any supplement (basal) was considered as 100.

Istraživanja invazije Matrigel-a Matrigel invasion studies

Istraživanja su provedena koristeći Matrigel (Becton Dickinson) inserte u kompatibilne ploče s 24 bunarića. Fibroblasti su nasađeni i uzgojeni u bunarićima ploče koristeći DMEM. Kada bi fibroblasti dostigli konfluenciju, medij je bio povučen i zamijenjen sa 750 μl medija koji je određen za obradu. Stanice raka (5 x 104) suspendirane u 250 μl medija suplementiranog hranjivim tvarima, kako je specificirano u dizajnu eksperimenta nasađene su na insert u bunariću. Na taj su način i medij na insertu i u bunariću sadržavali jednake suplemente. Ploče s insertima su zatim inkubirane (u inkubatoru sa zračnom cirkulacijom za stanice MDA-MB-231, a za stanice raka debelog crijeva i stanice melanoma u inkubatoru s 5% CO2) tijekom 18-20 sati. Nakon inkubacije, mediji iz bunarića su povučeni. Stanice na gornjoj plohi inserata su blago ostrugane pamučnom vatom na štapiću. One stanice koje su prodrle kroz Matrigel-ovu membranu i migrirale do donje površine Matrigel-a obojene su hemakolor bojom (EM Sciences) i vizualno su izbrojene pod mikroskopom. Rezultati su podvrgnuti obradi s ANOVA i svi mogući parovi testirani su za signifikantnost kod p < 0,05. Studies were performed using Matrigel (Becton Dickinson) inserts in compatible 24-well plates. Fibroblasts were seeded and grown in wells of the plate using DMEM. When the fibroblasts reached confluence, the medium was withdrawn and replaced with 750 μl of the medium designated for processing. Cancer cells (5 x 104) suspended in 250 μl of nutrient-supplemented medium as specified in the experimental design were seeded onto the well insert. In this way, the medium on the insert and in the well contained the same supplements. Plates with inserts were then incubated (in an incubator with air circulation for MDA-MB-231 cells, and for colon cancer cells and melanoma cells in an incubator with 5% CO2) for 18-20 hours. After incubation, the media from the wells were withdrawn. The cells on the upper surface of the insert are slightly scraped with cotton wool on a stick. Those cells that penetrated the Matrigel membrane and migrated to the lower surface of the Matrigel were stained with hemacolor dye (EM Sciences) and visually counted under a microscope. Results were subjected to ANOVA and all possible pairs were tested for significance at p < 0.05.

Mediji u različitim proučavanjima suplementirani su askorbinskom kiselinom, prolinom, lizinom i EGCG u koncentracijama kako su označene. Media in various studies were supplemented with ascorbic acid, proline, lysine, and EGCG at concentrations as indicated.

Želatinazna zimografija (Gelatinase Zymography) Gelatinase Zymography

Želatinazna zimografija je izvođena u 10% Novex prethodno pripravljenom poliakrilamidnom gelu (Invitrogen) uz prisutnost 0,1% želatine. Mediji za kulturu (20 μl) su naneseni i SDS-PAGE je izvedena s tris-glicinskim SDS puferom. Nakon elektroforeze, gelovi su isprani s 5% Triton X-100 tijekom 30 minuta i obojeni. Proteinski standardi su istovremeno razdvojeni i određene su približne molekularne težine. Gelatinase zymography was performed in 10% Novex precast polyacrylamide gel (Invitrogen) in the presence of 0.1% gelatin. Culture media (20 μl) were applied and SDS-PAGE was performed with tris-glycine SDS buffer. After electrophoresis, gels were washed with 5% Triton X-100 for 30 min and stained. Protein standards were simultaneously separated and approximate molecular weights were determined.

Primjer 1 Example 1

Stanice raka dojke MDA-MB 231 (ATCC) nasađene su na Matrigel insert u usavršenoj Matrigel invazijskoj komori (BD). Kondicionirani mediji od normalnih ljudskih kožnih fibroblasta (Clonetics) suplementirani različitim agensima (kako je označeno na Slici 1) dodani su u bunarić. Komora je inkubirana tijekom 24 sata i stanice, koje su izvršile invaziju kroz Matrigel membranu i migrirale do donje površine membrane, su izbrojene. Ovi podaci pokazuju inhibitorski učinak epigalokatehin galata i kombinacije askorbinske kiseline, prolina i lizina na invaziju u Matrigel i migraciju stanica ljudskog raka dojke MDA-MB 231. Breast cancer cells MDA-MB 231 (ATCC) were seeded on a Matrigel insert in a perfected Matrigel invasion chamber (BD). Conditioned media from normal human skin fibroblasts (Clonetics) supplemented with various agents (as indicated in Figure 1) were added to the well. The chamber was incubated for 24 hours and the cells, which invaded through the Matrigel membrane and migrated to the lower surface of the membrane, were counted. These data demonstrate the inhibitory effect of epigallocatechin gallate and a combination of ascorbic acid, proline and lysine on Matrigel invasion and migration of MDA-MB 231 human breast cancer cells.

Primjer 2 Example 2

Stanice raka ljudskog debelog crijeva HCT 116 (ATCC) nasađene su na Matrigel insert u usavršenoj Matrigel invazijskoj komori (BD). Kondicionirani mediji od normalnih ljudskih kožnih fibroblasta (Clonetics) suplementirani različitim agensima (kako je označeno na Slici 2) dodani su u bunarić. Komora je inkubirana tijekom 24 sata i stanice, koje su izvršile invaziju u Matrigel membranu i migrirale do donje površine membrane, su izbrojene. Ovi podaci pokazuju jedan inhibitorski učinak epigalokatehin galata i kombinacije askorbinske kiseline, prolina i lizina na invaziju u Matrigel i migraciju stanica ljudskog raka debelog crijeva HCT116. Human colon cancer cells HCT 116 (ATCC) were seeded on a Matrigel insert in a perfected Matrigel invasion chamber (BD). Conditioned media from normal human skin fibroblasts (Clonetics) supplemented with various agents (as indicated in Figure 2) were added to the well. The chamber was incubated for 24 hours and the cells, which invaded the Matrigel membrane and migrated to the lower surface of the membrane, were counted. These data demonstrate an inhibitory effect of epigallocatechin gallate and a combination of ascorbic acid, proline and lysine on Matrigel invasion and migration of HCT116 human colon cancer cells.

Primjer 3 Example 3

Stanice ljudskog melanoma A2058 (ATCC) nasađene su na Matrigel insert u usavršenoj Matrigel invazijskoj komori (BD). Kondicionirani mediji od normalnih ljudskih kožnih fibroblasta (Clonetics) suplementirani različitim agensima dodani su u bunarić. Komora je inkubirana tijekom 24 sata i stanice, koje su izvršile invaziju u Matrigel membranu i migrirale do donje površine membrane, su izbrojene. Ovi podaci pokazuju inhibitorski učinak epigalokatehin galata i kombinacije askorbinske kiseline, prolina i lizina na invaziju u Matrigel i migraciju stanica ljudskog melanoma A2058. Human melanoma cells A2058 (ATCC) were seeded on a Matrigel insert in a perfected Matrigel invasion chamber (BD). Conditioned media from normal human skin fibroblasts (Clonetics) supplemented with various agents were added to the well. The chamber was incubated for 24 hours and the cells, which invaded the Matrigel membrane and migrated to the lower surface of the membrane, were counted. These data demonstrate the inhibitory effect of epigallocatechin gallate and a combination of ascorbic acid, proline and lysine on Matrigel invasion and migration of human melanoma A2058 cells.

Primjer 4 Example 4

U ovom eksperimentu stanice ljudskog melanoma A2058 (ATCC) nasađene su na Matrigel insert u usavršenoj Matrigel invazijskoj komori (BD) u prisutnosti: In this experiment, human melanoma cells A2058 (ATCC) were seeded on a Matrigel insert in an improved Matrigel invasion chamber (BD) in the presence of:

A: kondicioniranih medija od normalnih ljudskih kožnih fibroblasta (Clonetics) i A: conditioned media from normal human skin fibroblasts (Clonetics) and

B: istih medija suplementiranih različitim hranjivim tvarima kako je označeno u legendama Slike 4. Nakon 24 sata inkubacije, stanice koje su izvršile invaziju u Matrigel membranu i migrirale do donje površine membrane, ispitane su pod mikroskopom i izbrojene. B: the same media supplemented with different nutrients as indicated in the legends of Figures 4. After 24 hours of incubation, cells that invaded the Matrigel membrane and migrated to the lower surface of the membrane were examined under a microscope and counted.

Ovi podaci pokazuju apoptotski učinak epigalokatehin galata i kombinacije askorbinske kiseline + prolina + lizina na A2058. A; Stanice ljudskog melanoma u mediju tkivne kulture. B: Stanice ljudskog melanoma u mediju tkivne kulture koji sadrži askorbinsku kiselinu (100 μM), prolin (140 μM), lizin (400 μM) i EGCG (20 μg/ml). Opaska: stanice su bile uništene. These data demonstrate the apoptotic effect of epigallocatechin gallate and the combination of ascorbic acid + proline + lysine on A2058. AND; Human melanoma cells in tissue culture medium. B: Human melanoma cells in tissue culture medium containing ascorbic acid (100 μM), proline (140 μM), lysine (400 μM), and EGCG (20 μg/ml). Note: the cells were destroyed.

Primjer 5 Example 5

Istraživanje proliferacije stanica raka Investigation of cancer cell proliferation

Stanice melanoma A2058 A2058 melanoma cells

Slika 5 prikazuje učinak 10, 20 i 50 μg/ml EGCG, bez i s dodavanjem lizina, prolina i askorbinske kiseline na proliferaciju stanica melanoma. Niti lizin, ni prolin, ni askorbinska kiselina, niti EGCG pri 10 i 20 μg/ml nisu imali ikakav značajan učinak na proliferaciju stanica. Međutim, EGCG pri 50 μg/ml je značajno smanjio broj stanica na 30%. Slični učinak je opažen s lizinom, prolinom i askorbinskom kiselinom. Figure 5 shows the effect of 10, 20 and 50 μg/ml EGCG, without and with the addition of lysine, proline and ascorbic acid on the proliferation of melanoma cells. Neither lysine, nor proline, nor ascorbic acid, nor EGCG at 10 and 20 μg/ml had any significant effect on cell proliferation. However, EGCG at 50 μg/ml significantly reduced the number of cells to 30%. A similar effect was observed with lysine, proline and ascorbic acid.

Stanice raka dojke MDA-MB-231 MDA-MB-231 breast cancer cells

U ovim eksperimentima, bazalni medij suplementiran je s 0, 10, 20, 50, 100 ili 200 μg/ml EGCG (Slika 6). Rezultati pokazuju, da je suplementiranje bazalnog medija s 50, 100 i 200 μg/ml EGCG značajno smanjilo broj stanica do 66,1 ± 5,3%; 33,6 ± 2 % i 29,6 ± 0,8% u usporebi s odnosnim nesuplementiranim kontrolama. Koncentracije EGCG u staničnom mediju do 20 μg/ml nisu imale ikakav značajan inhibitorski učinak na proliferaciju stanica. In these experiments, the basal medium was supplemented with 0, 10, 20, 50, 100 or 200 μg/ml EGCG (Figure 6). The results show that supplementing the basal medium with 50, 100 and 200 μg/ml EGCG significantly reduced the number of cells to 66.1 ± 5.3%; 33.6 ± 2 % and 29.6 ± 0.8% in comparison with the respective non-supplemented controls. Concentrations of EGCG in the cell medium up to 20 μg/ml did not have any significant inhibitory effect on cell proliferation.

Istraživali smo također učinke askorbinske kiseline, lizina, prolina i različitih koncentracija EGCG na proliferaciju stanica raka. Slika 7 pokazuje beznačajno smanjeni broj stanica do 86,1 + 1,93% s askorbinskom kiselinom, lizinom i prolinom. Daljnje dodavanje od 20, 50 i 100 μg EGCG ovoj kombinaciji značajno je smanjilo broj stanica na 74 ± 5,8%; 64,8 ± 1,6% i 22 ± 5% u usporedbi s odnosnom kontrolnom skupinom. We also investigated the effects of ascorbic acid, lysine, proline and different concentrations of EGCG on the proliferation of cancer cells. Figure 7 shows insignificantly reduced cell number up to 86.1 + 1.93% with ascorbic acid, lysine and proline. Further addition of 20, 50 and 100 μg EGCG to this combination significantly reduced the number of cells to 74 ± 5.8%; 64.8 ± 1.6% and 22 ± 5% compared to the respective control group.

Stanice raka debelog crijeva HCT 116 HCT 116 colon cancer cells

Dok inhibitorski učinak askorbinske kiseline, prolina i lizina na proliferaciju stanica raka debelog crijeva nije bio naglašen, kombinacija askorbinske kiseline, prolina i lizina s 20 μg/ml EGCG je značajno snizila broj stanica do 69 ± 0,5% (Slika 8). Viša koncentracija EGCG u ovoj kombinaciji (50 μg/ml) drastično je smanjila broj stanica na 4,6 ± 0,3%. While the inhibitory effect of ascorbic acid, proline and lysine on the proliferation of colon cancer cells was not emphasized, the combination of ascorbic acid, proline and lysine with 20 μg/ml EGCG significantly reduced the number of cells up to 69 ± 0.5% (Figure 8). The higher concentration of EGCG in this combination (50 μg/ml) drastically reduced the number of cells to 4.6 ± 0.3%.

Antiproliferativno djelovanje hranjivih kombinacija korištenih u ovim istraživanjima variralo je s tipom stanica raka. U stanicama raka dojke, kombinacija askorbinske kiseline, prolina i lizina s EGCG imala je veće antiproliferativne efekte od onih kada su te hranjive tvari korištene pojedinačno. U stanicama melanoma i raka debelog crijeva izloženim kombinaciji askorbinske kiseline, prolina i lizina nije bilo utjecaja na njihovu proliferaciju. Međutim, kombiniranjem ovih hranjivih tvari s 20 μg/ml EGCG rezultiralo je značajnim smanjenjem broja stanica raka debelog crijeva, ali ne i stanica melanoma. Čini se, da su stanice raka debelog crijeva osjetljivije od stanica raka dojke i stanica melanoma, na najmanju kombinaciju askorbinske kiseline, prolina, lizina i EGCG. Proliferacija stanica raka debelog crijeva je gotovo potpuno reducirana (4,6%) kada se askorbinsku kiselinu, prolin i lizin davalo s 50 μg/ml EGCG. The antiproliferative effect of the nutrient combinations used in these studies varied with the type of cancer cells. In breast cancer cells, the combination of ascorbic acid, proline and lysine with EGCG had greater antiproliferative effects than when these nutrients were used individually. Melanoma and colon cancer cells exposed to the combination of ascorbic acid, proline and lysine had no effect on their proliferation. However, combining these nutrients with 20 μg/ml EGCG resulted in a significant reduction in the number of colon cancer cells, but not melanoma cells. Colon cancer cells seem to be more sensitive than breast cancer cells and melanoma cells to the smallest combination of ascorbic acid, proline, lysine and EGCG. Proliferation of colon cancer cells was almost completely reduced (4.6%) when ascorbic acid, proline and lysine were administered with 50 μg/ml EGCG.

Primjer 6 Example 6

Želatinazna zimografska ispitivanja Gelatinase zymographic tests

Učinak EGCG na stanice melanoma s bazalnim medijem i suplementiranjem askorbinske kiseline, prolina i lizina na ekspresiju MMP-a prikazan je na Slici 9 pomoću želatinazne zimografije. Stanice melanoma pokazale su dvije pruge koje odgovaraju MMP-2 i MMP-9. Kombinacija askorbinske kiseline, lizina i prolina nema nikakvog efekta na ekspresiju MMP-pruga u usporedbi s bazalnim medijem. Međutim, EGCG inhibira ekspresiju i MMP-2 i MMP-9 na način koji je zavisan o dozi. Intenzitet pruga u bazalnim uvjetima i u kombinaciji askorbinske kiseline, lizina i prolina bio je isti. The effect of EGCG on melanoma cells with basal medium and ascorbic acid, proline and lysine supplementation on MMP expression is shown in Figure 9 using gelatinase zymography. Melanoma cells showed two bands corresponding to MMP-2 and MMP-9. The combination of ascorbic acid, lysine and proline has no effect on MMP-band expression compared to the basal medium. However, EGCG inhibited the expression of both MMP-2 and MMP-9 in a dose-dependent manner. The intensity of the stripes in basal conditions and in the combination of ascorbic acid, lysine and proline was the same.

Primjer 7 Example 7

Istraživanja invazije ekstracelularnog matriksa i migracije Studies of extracellular matrix invasion and migration

Ispitivali su se inhibitorski efekti kombinacije askorbinske kiseline, prolina i lizina korištene odvojeno, kao i zajedno s različitim koncentracijama EGCG. Istraživali su se efekti ovih kombinacija na ekstracelularni matriks koristeći prethodno formirane Matrigel matrice, koje se rutinski koriste da se odredi visina invazivnog potencijala različitih staničnih linija raka. The inhibitory effects of the combination of ascorbic acid, proline and lysine used separately, as well as together with different concentrations of EGCG, were tested. The effects of these combinations on the extracellular matrix were investigated using preformed Matrigel matrices, which are routinely used to determine the level of invasive potential of various cancer cell lines.

Stanice raka dojke MDA-MB-231 MDA-MB-231 breast cancer cells

Slika 10 prikazuje rezultate invazije u Matrigel stanica raka dojke inkubiranih u prisutnosti askorbinske kiseline, prolina i lizina. Invazija stanica raka inkubiranih u kombinaciji askorbinske kiseline, prolina i lizina smanjena je do 48,1 ± 22,1% u usporedbi sa stanicama inkubiranim u mediju bez suplemenata. U mediju suplementiranom sa samo 20 μg/ml EGCG, broj invazivnih stanica smanjio se do 69,5 ± 27,4%. Potpuna inhibicija invazije matriksa stanicama raka dojke postigla se u prisutnosti viših koncentracija EGCG (50 μg/ml i 100 μg/ml). Figure 10 shows the results of invasion into Matrigel of breast cancer cells incubated in the presence of ascorbic acid, proline and lysine. Invasion of cancer cells incubated in a combination of ascorbic acid, proline and lysine was reduced to 48.1 ± 22.1% compared to cells incubated in medium without supplements. In medium supplemented with only 20 μg/ml EGCG, the number of invasive cells decreased to 69.5 ± 27.4%. Complete inhibition of matrix invasion by breast cancer cells was achieved in the presence of higher concentrations of EGCG (50 μg/ml and 100 μg/ml).

U drugom nizu istraživanja, suplementiranje medija sa 100 μM askorbinske kiseline smanjilo je invaziju za 36%. Suplementiranje askorbinskom kiselinom i 140 μM prolina dalje je smanjilo invaziju za 47%. Koristeći 400 μM lizina uz askorbinsku kiselinu i prolin u suplementu dalje je smanjilo invaziju za 67%; lizin pokazuje linearni odgovor u pojačavanju efekata askorbinske kiseline i prolina do razine od 800 μM. In another series of studies, supplementing the medium with 100 μM ascorbic acid reduced invasion by 36%. Supplementation with ascorbic acid and 140 μM proline further reduced invasion by 47%. Using 400 μM lysine with ascorbic acid and proline in the supplement further reduced invasion by 67%; lysine shows a linear response in enhancing the effects of ascorbic acid and proline up to the level of 800 μM.

Slika 10 također pokazuje da je kombinacija askorbinske kiseline, prolina i lizina kao i 20 μg/ml EGCG bila učinkovita u potpunom zaustavljanju invazije stanica raka kroz ekstracelularni matriks. Ova je kombinacija omogućila da se dostigne maksimalni inhibitorski efekt na invaziju stanica raka bez nužde da se koriste visoke koncentracije pojedinih hranjivih tvari. Kao takvi, askorbinska kiselina, prolin i lizin zajedno s EGCG omogućili su da se potpuno zaustavi invazija u matriks od strane stanica raka dojke pri nižoj razini EGCG (20 μg/ml ). Figure 10 also shows that the combination of ascorbic acid, proline and lysine as well as 20 μg/ml EGCG was effective in completely stopping the invasion of cancer cells through the extracellular matrix. This combination made it possible to reach the maximum inhibitory effect on the invasion of cancer cells without the need to use high concentrations of individual nutrients. As such, ascorbic acid, proline and lysine together with EGCG allowed to completely stop matrix invasion by breast cancer cells at a lower level of EGCG (20 μg/ml).

Stanice raka debelog crijeva HCT116 HCT116 colon cancer cells

Slika 11 prikazuje da je kombinacija askorbinske kiseline, prolina i lizina značajno smanjila invaziju stanica raka debelog crijeva do 67,2 ± 3,7%. EGCG korišten samostalno pri 20 μg/ml smanjio je invaziju do 44,9 ± 3,3%, dok je kombinacija askorbinske kiseline, prolina i lizina, te 20 μg/ml EGCG imala sinergistički efekt smanjujući invaziju stanica raka debelog crijeva do 24,9 ± 4,6%. Figure 11 shows that the combination of ascorbic acid, proline and lysine significantly reduced colon cancer cell invasion up to 67.2 ± 3.7%. EGCG used alone at 20 μg/ml reduced invasion up to 44.9 ± 3.3%, while the combination of ascorbic acid, proline and lysine, and 20 μg/ml EGCG had a synergistic effect reducing colon cancer cell invasion up to 24.9 ± 4.6%.

Stanice melanoma A2058 A2058 melanoma cells

Slika 12 prikazuje da je kombinacija askorbinske kiseline, prolina i lizina bila učinkovita u smanjivanju broja invazivnih stanica do 88,2 ± 4%, međutim ovo opadanje nije bilo statistički značajno. Kombiniranjem ovih hranjivih tvari s tako malo, kao što je 20 μg/ml EGCG, bilo je učinkovito u smanjivanju broja invazivnih stanica do nule. Figure 12 shows that the combination of ascorbic acid, proline and lysine was effective in reducing the number of invasive cells up to 88.2 ± 4%, however this decrease was not statistically significant. Combining these nutrients with as little as 20 μg/ml EGCG was effective in reducing the number of invasive cells to zero.

Ovi rezultati pokazuju da nam je uporaba askorbinske kiseline, prolina i lizina s EGCG omogućila da dobijemo drastično smanjenje broja stanica koje su izvršile invaziju i migrirale kroz Matrigel membranu pri nižim razinama EGCG. Invazija je smanjena do nule koristeći tako nisku razinu kao 20 μg/ml EGCG s askorbinskom kiselinom, prolinom i lizinom kod stanica raka dojke i stanica melanoma. Blagodati rezultata ove kombinacije nisu bile tako spektakularne sa stanicama raka debelog crijeva, kako je dobiveno sa stanicama raka dojke. Razina EGCG morala je biti na 50 μg/ml da se dobije 90% smanjenje invazije ovim stanicama. U ovom istraživanju, nisu opažene nikakve promjene u ekspresiji MMP u stanicama melanoma, premda EGCG ima inhibitorski učinak na njihovu ekspresiju na način koji je zavisan o dozi. These results show that the use of ascorbic acid, proline and lysine with EGCG allowed us to obtain a drastic reduction in the number of cells that invaded and migrated through the Matrigel membrane at lower levels of EGCG. Invasion was reduced to zero using as low a level as 20 μg/ml EGCG with ascorbic acid, proline and lysine in breast cancer cells and melanoma cells. The beneficial results of this combination were not as spectacular with colon cancer cells as they were with breast cancer cells. The level of EGCG had to be at 50 μg/ml to obtain a 90% reduction in invasion by these cells. In this study, no changes were observed in the expression of MMPs in melanoma cells, although EGCG has an inhibitory effect on their expression in a dose-dependent manner.

Ovi nizovi istraživanja uvjerljivo demonstriraju da predmetna hranjiva farmaceutska formulacija koja sadrži askorbinsku kiselinu, prolin, lizin i barem jedan polifenolni spoj vrši učinkovite anti-proliferativne i anti-invazivne učinke na stanice raka. These lines of research convincingly demonstrate that the subject nutritional pharmaceutical formulation containing ascorbic acid, proline, lysine and at least one polyphenolic compound exerts effective anti-proliferative and anti-invasive effects on cancer cells.

Primjer 8 Example 8

Slijedeće hranjive farmaceutske formulacije (Tablice 1-5) i EPICAN FORTE™ (Tablica 6) ilustrirane su za njihovo pripravljanje. Za ove formulacije, koje sadrže askorbinsku kiselinu, prolin, lizin i barem jedan polifenolni spoj, pronađeno je da su učinkovite u blokiranju invazije stanica raka i metastaza stanica raka. The following nutrient pharmaceutical formulations (Tables 1-5) and EPICAN FORTE™ (Table 6) are illustrated for their preparation. These formulations, which contain ascorbic acid, proline, lysine and at least one polyphenolic compound, have been found to be effective in blocking cancer cell invasion and cancer cell metastasis.

Tablica 1 Formulacija 1 Table 1 Formulation 1

[image] mg = miligrami [image] mg = milligrams

mcg = mikrogrami mcg = micrograms

"%" se odnosi na tež.% pojedinog sastojka u ukupnoj težini formulacije "%" refers to the weight % of an individual ingredient in the total weight of the formulation

Tablica 2 Formulacija 2 Table 2 Formulation 2

[image] mg = miligrami [image] mg = milligrams

mcg = mikrogrami mcg = micrograms

"%" se odnosi na tež.% pojedinog sastojka u ukupnoj težini formulacije "%" refers to the weight % of an individual ingredient in the total weight of the formulation

Tablica 3 Formulacija 3 Table 3 Formulation 3

[image] mg = miligrami [image] mg = milligrams

mcg = mikrogrami mcg = micrograms

"%" se odnosi na tež.% pojedinog sastojka u ukupnoj težini formulacije "%" refers to the weight % of an individual ingredient in the total weight of the formulation

Tablica 4 Formulacija 4 Table 4 Formulation 4

[image] mg = miligrami [image] mg = milligrams

mcg = mikrogrami mcg = micrograms

"%" se odnosi na tež.% pojedinog sastojka u ukupnoj težini formulacije "%" refers to the weight % of an individual ingredient in the total weight of the formulation

Tablica 5 Formulacija 5 Table 5 Formulation 5

[image] mg = miligrami [image] mg = milligrams

mcg = mikrogrami mcg = micrograms

"%" se odnosi na tež.% pojedinog sastojka u ukupnoj težini formulacije "%" refers to the weight % of an individual ingredient in the total weight of the formulation

Tablica 6 Formulacija za EPICAN FORTE™ Table 6 Formulation for EPICAN FORTE™

Veličina doziranja: 6 kapsula (Predložena uporaba: po dvije kapsule tri puta dnevno, pogodno uz obroke) Dosage size: 6 capsules (Suggested use: two capsules three times a day, suitable with meals)

[image] mg = miligrami [image] mg = milligrams

mcg = mikrogrami mcg = micrograms

EPICAN FORTE™ je ime trgovačke marke iz U.S. prijave u postupku EPICAN FORTE™ is a U.S. brand name. applications in the process

Drugi sastojci: Vegetarian kapsule (hidroksipropil metilceluloza), silicijev dioksid, celuloza i magnezijev stearat. Other ingredients: Vegetarian capsules (hydroxypropyl methylcellulose), silicon dioxide, cellulose and magnesium stearate.

Primjer 9 Example 9

Efekti EPICAN FORTE™ na stanice ljudskog raka Effects of EPICAN FORTE™ on human cancer cells

Istraživani su efekti EPICAN FORTE™ na stanice ljudskog raka. Ispitani su metastatski parametri kao što je ekspresija metaloproteinaza matriksa (MMP) pomoću želatinazne zimografije, invazijski potencijal kroz Matrigel i proliferacija/rast pomoću MTT analiza. Protokoli za ove analize detaljno su opisani kao gore. Korišteno je nekoliko ljudskih staničnih linija raka: raka kože - stanice melanoma 2058, raka jetre - stanice HepG2, fibrosarkoma - stanice HT 1080, raka debelog crijeva - HCT 116, raka dojke - ER+/-MCF-7 i raka dojke ER-/- MDA-MB-231. The effects of EPICAN FORTE™ on human cancer cells were investigated. Metastatic parameters such as expression of matrix metalloproteinases (MMP) using gelatinase zymography, invasion potential through Matrigel and proliferation/growth using MTT assays were examined. The protocols for these analyzes are detailed as above. Several human cancer cell lines were used: skin cancer - melanoma 2058 cells, liver cancer - HepG2 cells, fibrosarcoma - HT 1080 cells, colon cancer - HCT 116, breast cancer - ER+/-MCF-7 and breast cancer ER-/- MDA-MB-231.

Slijedeće tablice (Tablice 7 i 8) sumiraju rezultate: The following tables (Tables 7 and 8) summarize the results:

Efekti EPICAN FORTE™ na proliferaciju/rast ljudskih staničnih linija raka: Effects of EPICAN FORTE™ on the proliferation/growth of human cancer cell lines:

Tablica 7 Doze tretiranja s EPICAN FORTE™ μg/ml : Postotak od kontrole Table 7 Doses treated with EPICAN FORTE™ μg/ml: Percentage of control

[image] [image]

Efekti EPICAN FORTE™ na invaziju u Matrigel i migraciju ljudskih stanica raka: Effects of EPICAN FORTE™ on Matrigel invasion and migration of human cancer cells:

Tablica 8 Doze tretiranja s EPICAN FORTE™ μg/ml: Postotak inhibicije Table 8 Treatment doses with EPICAN FORTE™ μg/ml: Percentage of inhibition

[image] [image]

Efekti EPICAN FORTE™ na ekspresiju metaloproteinaza matriksa (MMP) po ljudskim staničnim linijama raka: Effects of EPICAN FORTE™ on the expression of matrix metalloproteinases (MMP) in human cancer cell lines:

Stanice melanoma: Stanice melanoma su pokazivale dvije pruge u želatinaznoj zimografiji koje odgovaraju MMP-2 i MMP-9. EPICAN FORTE™ inhibirao je ekspresiju MMP-2 i MMP-9 na način zavisan o dozi. Ekspresija MMP-2 i MMP-9 je bila značajno inhibirana s koncentracijom od 100 μg/ml od EPICAN FORTE™ i zapravo se nije mogla detektirati kod koncentracije od 1000 μg/ml. Melanoma cells: Melanoma cells showed two bands in gelatinase zymography corresponding to MMP-2 and MMP-9. EPICAN FORTE™ inhibited the expression of MMP-2 and MMP-9 in a dose-dependent manner. The expression of MMP-2 and MMP-9 was significantly inhibited at a concentration of 100 μg/ml of EPICAN FORTE™ and was virtually undetectable at a concentration of 1000 μg/ml.

Stanice HepG2: Kao i stanica melanoma, HepG2 je također eksprimirala dvije pruge koje odgovaraju MMP-2 i MMP-9. EPICAN FORTE™ inhibirao je ekspresiju MMP-2 i MMP-9 pri koncentracijama od 500 i 1000 μg/ml. HepG2 cells: Like melanoma cells, HepG2 also expressed two bands corresponding to MMP-2 and MMP-9. EPICAN FORTE™ inhibited the expression of MMP-2 and MMP-9 at concentrations of 500 and 1000 μg/ml.

Fibrosarkom HT-1080: Stanice HT-1080 su pokazivale dvije pruge za MMP-2 i MMP-9. EPICAN FORTE™ je također inhibirao ekspresiju obje pruge na način zavisan o dozi. Vrlo blijede pruge viđene su pri koncentracijama od 500 i 1000 μg/ml. Fibrosarcoma HT-1080: HT-1080 cells showed two bands for MMP-2 and MMP-9. EPICAN FORTE™ also inhibited the expression of both bands in a dose-dependent manner. Very faint streaks were seen at concentrations of 500 and 1000 μg/ml.

Rak debelog crijeva HCT 116: Stanice raka debelog crijeva pokazale su samo jednu prugu u zimografiji koja odgovara MMP-2, a koja je potpuno nestala pri koncentraciji od 100 μg/ml. Colon cancer HCT 116: Colon cancer cells showed only one band in zymography corresponding to MMP-2, which completely disappeared at a concentration of 100 μg/ml.

MCF-7 i MDA-MB-231: Ove stanične linije raka nisu pokazivale nikakve MMP pruge pod našom eksperimentalnom koncentracijom, a koje su bile slične drugim staničnim linijama raka. MCF-7 and MDA-MB-231: These cancer cell lines did not show any MMP bands under our experimental concentration, which were similar to other cancer cell lines.

Invazija MDA-MB-231 kroz Matrigel bila je inhibirana za 50%, 60% i 95% pri odgovarajućim 10, 50, i 100 μg/ml koncentracijama EPICAN FORTE™. EPICAN FORTE™ nije bio toksičan za MDA-MB-231 pri 10 μg/ml, a pokazao je blagu toksičnost pri 100 μg/ml. Međutim, on je pokazao značajnu toksičnost pri 1000 μg/ml. Niti MMP-2 niti MMP-9 nisu eksprimirani prema zimografiji. Nasuprot tome, EPICAN FORTE™ nije bio toksičan prema MCF-7, čak pri 500 μg/ml, a pokazivao je blagu toksičnost pri 1000 μg/ml. MCF-7 nisu bile invazivne i nisu eksprimirale aktivnost MMP. Invasion of MDA-MB-231 through Matrigel was inhibited by 50%, 60%, and 95% at respective 10, 50, and 100 μg/ml concentrations of EPICAN FORTE™. EPICAN FORTE™ was not toxic to MDA-MB-231 at 10 μg/ml and showed mild toxicity at 100 μg/ml. However, it showed significant toxicity at 1000 μg/ml. Neither MMP-2 nor MMP-9 was expressed by zymography. In contrast, EPICAN FORTE™ was not toxic to MCF-7, even at 500 μg/ml, and showed mild toxicity at 1000 μg/ml. MCF-7 were not invasive and did not express MMP activity.

EPICAN FORTE™ inhibira ekspresiju MMP-2 i MMP-9 na način zavisan o dozi. Ekpresija MMP-2 i MMP-9 značajno je inhibirana pri koncentraciji od 100 μg/ml EPICAN FORTE™, a zapravo se nije mogla detektirati pri koncentraciji od 10 μg/ml. EPICAN FORTE™ korišten pri koncentracijama 10 i 100 μg/ml nije značajno utjecao na staničnu vitalnost, a pri 100 μg/ml on je pokazao citotoksičnost u rasponu od 10-40 postotaka, zavisno o tipu stanica. Invazija stanica melanoma, stanica MDA-MB-231 i ko-kultura stanica melanoma s NHDF kroz Matrigel se značajno smanjila na način zavisan o dozi. Invazija stanica HT-1080 kroz Matrigel se inhibirala za 10%, 50%, 70% i 100% pri odgovarajućim 10, 100, 200, 1000 μg/ml. Zanimljivo, EPICAN FORTE™ nije bio toksičan za stanice HT-1080 pri 100 μg/ml. Ovi rezultati demonstriraju, da je EPICAN FORTE™ vrlo učinkovit za nekoliko staničnih linija raka i također u ko-kulturi. Ova opažanja otkrivaju da EPICAN FORTE™ može dati jednu prirodnu terapeutsku osnovu koja ga čini vrijednim i obećavajućim kandidatom za liječenje raka kod ljudi. EPICAN FORTE™ inhibits the expression of MMP-2 and MMP-9 in a dose-dependent manner. The expression of MMP-2 and MMP-9 was significantly inhibited at a concentration of 100 μg/ml EPICAN FORTE™, and in fact could not be detected at a concentration of 10 μg/ml. EPICAN FORTE™ used at concentrations of 10 and 100 μg/ml did not significantly affect cell viability, and at 100 μg/ml it showed cytotoxicity in the range of 10-40 percent, depending on the type of cells. Invasion of melanoma cells, MDA-MB-231 cells, and co-culture of melanoma cells with NHDF through Matrigel was significantly reduced in a dose-dependent manner. Invasion of HT-1080 cells through Matrigel was inhibited by 10%, 50%, 70% and 100% at 10, 100, 200, 1000 μg/ml, respectively. Interestingly, EPICAN FORTE™ was not toxic to HT-1080 cells at 100 μg/ml. These results demonstrate that EPICAN FORTE™ is highly effective for several cancer cell lines and also in co-culture. These observations reveal that EPICAN FORTE™ may provide a natural therapeutic basis that makes it a valuable and promising candidate for the treatment of human cancer.

Primjer 10 Example 10

Efekti EPICAN FORTE™ na normalne ljudske stanične linije Effects of EPICAN FORTE™ on normal human cell lines

Istraživani su efekti EPICAN FORTE™ na normalne ljudske stanice. Korišteni su parametri slični onima za stanične linije raka; naime zimografija za ekspresiju MMP, invazija kroz Matrigel i proliferacija/rast s MTT pokusima. Korišteno je nekoliko normalnih ljudskih kožnih fibroblasta (Normal Human Dermal Fibroblast, NHDF), uključujući: ljudske hondrocite i ljudske stanice strome. The effects of EPICAN FORTE™ on normal human cells were investigated. Parameters similar to those for cancer cell lines were used; namely zymography for MMP expression, invasion through Matrigel and proliferation/growth with MTT experiments. Several normal human dermal fibroblasts (NHDF) were used, including: human chondrocytes and human stromal cells.

Slijedeće tablice (Tablice 9, 10 i 11) sumiraju efekte EPICAN FORTE™ na proliferaciju/rast, metastatsku invaziju i produkciju MMP u normalnim ljudskim stanicama: The following tables (Tables 9, 10 and 11) summarize the effects of EPICAN FORTE™ on proliferation/growth, metastatic invasion and MMP production in normal human cells:

Tablica 9 Efekti EPICAN FORTE™ na proliferaciju/rast normalnih ljudskih stanica. Doze tretiranja s EPICAN FORTE™ (μg/ml): Postotak od kontrole Table 9 Effects of EPICAN FORTE™ on proliferation/growth of normal human cells. EPICAN FORTE™ treatment doses (μg/ml): Percentage of control

[image] [image]

Tablica 9 Efekti EPICAN FORTE™ na invaziju normalnih ljudskih stanica u Matrigel. Doze tretiranja s EPICAN FORTE™ (μg/ml): Postotak inhibicije Table 9 Effects of EPICAN FORTE™ on invasion of normal human cells into Matrigel. Treatment doses with EPICAN FORTE™ (μg/ml): Percentage of inhibition

[image] [image]

Efekti EPICAN FORTE™ na ekspresiju metaloproteinaza matriksa (MMP) u normalnim ljudskim stanicama sumirani su kako slijedi: The effects of EPICAN FORTE™ on the expression of matrix metalloproteinases (MMPs) in normal human cells are summarized as follows:

NHDF: NHDF je eksprimirao samo jednu prugu u zimografiji koja odgovara MMP-2, koja zapravo nestaje pri koncentraciji od 1000 μg/ml EPICAN FORTE™. NHDF: NHDF expressed only one band in zymography corresponding to MMP-2, which actually disappears at a concentration of 1000 μg/ml EPICAN FORTE™.

Hondrocite: Hondrocite su također pokazale samo jednu prugu koja odgovara MMP-2. EPICAN FORTE™ inhibirao je ekspresiju MMP-2 na način zavisan o dozi. Ekspresija MMP-2 bila je značajno inhibirana pri koncentraciji od 100 μg/ml EPICAN FORTE™ i potpuno je nestala pri koncentraciji od 200 μg/ml EPICAN FORTE™. Chondrocytes: Chondrocytes also showed only one band corresponding to MMP-2. EPICAN FORTE™ inhibited MMP-2 expression in a dose-dependent manner. MMP-2 expression was significantly inhibited at a concentration of 100 μg/ml EPICAN FORTE™ and completely disappeared at a concentration of 200 μg/ml EPICAN FORTE™.

Stanice strome: Stanice strome su također pokazivale samo jednu prugu koja odgovara MMP-2. EPICAN FORTE™ inhibirao je ekspresiju MMP-2 na način zavisan o dozi. Vrlo blijeda pruga viđena je pri koncentracijama od 50 i 100 μg/ml, koja nije detektirana pri koncentracijama od 200 i 500 μg/ml. Stromal cells: Stromal cells also showed only one band corresponding to MMP-2. EPICAN FORTE™ inhibited MMP-2 expression in a dose-dependent manner. A very faint band was seen at concentrations of 50 and 100 μg/ml, which was not detected at concentrations of 200 and 500 μg/ml.

Sumarno, rezultati su ukazali da EPICAN FORTE™ inhibira ekspresiju MMP2 na način zavisan o dozi. Ekspresija MMP-2 bila je značajno inhibirana pri koncentraciji od 100 μg/ml EPICAN FORTE™ i zapravo nije detektirana pri koncentraciji od 200 μg/ml. Uz to, pronađeno je također, da je invazija hondrocita kroz Matrigel inhibirana za 50%, 85% i 95% pri 10 μg/ml, 100 μg/ml i 200 μg/ml. Pri 500 μg/ml invazija je potpuno smanjena na 0%. In summary, the results indicated that EPICAN FORTE™ inhibited MMP2 expression in a dose-dependent manner. MMP-2 expression was significantly inhibited at a concentration of 100 μg/ml EPICAN FORTE™ and was virtually undetectable at a concentration of 200 μg/ml. In addition, it was also found that the invasion of chondrocytes through Matrigel was inhibited by 50%, 85% and 95% at 10 μg/ml, 100 μg/ml and 200 μg/ml. At 500 μg/ml, invasion was completely reduced to 0%.

EPICAN FORTE™ nije bio toksičan za hondrocite, čak pri koncentraciji od 200 μg/ml. U stvari, EPICAN FORTE™ je izvršio učinak proliferacije stanica, 70% porasta u proliferaciji stanica s 200 μg/ml, 70% više od kontrole. Blagi toksični efekt zapažen je samo pri 500 μg/ml. Ovi rezultati demonstriraju, da je EPICAN FORTE™ učinkovit u inhibiranju ekspresije MMP-2 i da EPICAN FORTE™ predstavlja jednu novu anti-upalnu hranjivu formulaciju kao prirodni pristup za inhibiranje produkcije MMP i degradacije ekstracelularnog matriksa u osteoartritisu i drugim srodnim bolestima uključujući ekscesivnu degradaciju hrskavice. EPICAN FORTE™ was not toxic to chondrocytes, even at a concentration of 200 μg/ml. In fact, EPICAN FORTE™ exerted a cell proliferation effect, a 70% increase in cell proliferation at 200 μg/ml, 70% more than the control. A mild toxic effect was observed only at 500 μg/ml. These results demonstrate that EPICAN FORTE™ is effective in inhibiting MMP-2 expression and that EPICAN FORTE™ represents a novel anti-inflammatory nutrient formulation as a natural approach to inhibit MMP production and extracellular matrix degradation in osteoarthritis and other related diseases including excessive cartilage degradation. .

Premda su in vivo pokusne linije EPICAN FORTE™ upravo započele s istraživanjima, izviješteno je već o dva slučaja koji dokazuju vrijednost EPICAN FORTE™ kao medikamenta za liječenje raka. Although the in vivo experimental lines of EPICAN FORTE™ have just begun research, two cases have already been reported that prove the value of EPICAN FORTE™ as a cancer treatment medication.

Jedna ženska pacijentica s dijagnosticiranim tumorom mozga liječena je kemoterapijom i radioterapijom bez uspjeha i krajem travnja 2002. od nje se odustalo. Slučajno su tu pacijenticu započeli liječiti s Epican-Forte u preporučenim dozama. Krajem kolovoza 2002. MRTS je pokazao da je tumor nestao. One female patient diagnosed with a brain tumor was treated with chemotherapy and radiotherapy without success and was given up at the end of April 2002. By chance, they started treating that patient with Epican-Forte in the recommended doses. At the end of August 2002, MRTS showed that the tumor had disappeared.

Jednom muškom pacijentu starom 64 godine, koji je imao jako povišenu razinu tumorskog markera PSA u svibnju 2002. (59,9 μg/l), dijagnosticirano je da ima metastaze karcinoma prostate duž limfnih sudova na aorti. On je započeo liječenjem s Epican-Forte u preporučenim dozama. Tri mjeseca kasnije razina PSA pala je na 0,9 μg/l. Kontrola CT-om krajem listopada 2002. pokazala je da prethodno vidljive limfatičke metastaze više nisu očite, a njegova prostata bila je normalne veličine. A 64-year-old male patient who had a highly elevated PSA tumor marker level in May 2002 (59.9 μg/l) was diagnosed with prostate cancer metastases along the lymphatic vessels of the aorta. He started treatment with Epican-Forte in the recommended doses. Three months later, the PSA level dropped to 0.9 μg/l. A CT scan at the end of October 2002 showed that previously visible lymphatic metastases were no longer evident, and his prostate was of normal size.

Opisan je određen broj izvedbi ovog izuma. Bez obzira na to, treba podrazumijevati, da se mogu napraviti različite modifikacije bez odstupanja od duha i opsega ovog izuma. A number of embodiments of the present invention are described. Regardless, it should be understood that various modifications can be made without departing from the spirit and scope of this invention.

Claims (33)

1. Hranjivi farmaceutski sastav koristan u liječenju raka, naznačen time, da sadrži: a) jedan askorbinski spoj; b) jedan L-lizinski spoj; c) jedan L-prolinski spoj; i d) barem jedan polifenolni spoj odabran iz skupine koja se sastoji od epigalokatehin galata, epikatehin galata, epigalokatehina, epikatehina i katehina, u čemu spojevi a) do c) pojačavaju aktivnost polifenolnog spoja u blokiranju proliferacije raka i metastaze.1. Nutritive pharmaceutical composition useful in the treatment of cancer, characterized in that it contains: a) one ascorbic compound; b) one L-lysine compound; c) one L-proline compound; and d) at least one polyphenolic compound selected from the group consisting of epigallocatechin gallate, epicatechin gallate, epigallocatechin, epicatechin and catechin, in which compounds a) to c) enhance the activity of the polyphenol compound in blocking cancer proliferation and metastasis. 2. Hranjivi farmaceutski sastav prema patentnom zahtjevu 1, naznačen time, da se askorbinski spoj odabire iz skupine koja se sastoji od askorbinske kiseline, farmaceutski prihvatljivih askorbatnih soli, askorbatnih estera i/ili njihovih smjesa.2. Nutritive pharmaceutical composition according to claim 1, characterized in that the ascorbic compound is selected from the group consisting of ascorbic acid, pharmaceutically acceptable ascorbate salts, ascorbate esters and/or their mixtures. 3. Hranjivi sastav prema patentnom zahtjevu 2, naznačen time, da farmaceutski prihvatljiva askorbatna sol jest kalcijev askorbat ili magnezijev askorbat.3. Nutritional composition according to claim 2, characterized in that the pharmaceutically acceptable ascorbate salt is calcium ascorbate or magnesium ascorbate. 4. Hranjivi sastav prema patentnom zahtjevu 2, naznačen time, da askorbatni ester jest askorbil palmitat.4. Nutritional composition according to claim 2, characterized in that the ascorbate ester is ascorbyl palmitate. 5. Hranjivi farmaceutski sastav prema patentnom zahtjevu 1, naznačen time, da se lizinski spoj odabire iz skupine koja se sastoji od lizin hidroklorida i farmaceutski prihvatljivih lizinskih soli.5. Nutritive pharmaceutical composition according to claim 1, characterized in that the lysine compound is selected from the group consisting of lysine hydrochloride and pharmaceutically acceptable lysine salts. 6. Hranjivi farmaceutski sastav prema patentnom zahtjevu 1, naznačen time, da se prolinski spoj odabire iz skupine koja se sastoji od prolin hidroklorida i farmaceutski prihvatljivih prolinskih soli.6. Nutritive pharmaceutical composition according to claim 1, characterized in that the proline compound is selected from the group consisting of proline hydrochloride and pharmaceutically acceptable proline salts. 7. Hranjivi farmaceutski sastav prema patentnom zahtjevu 1, naznačen time, da nadalje sadrži neki element u tragovima, odabran iz skupine koja se sastoji od selena, bakra, mangana, kalcija i magnezija.7. Nutritive pharmaceutical composition according to patent claim 1, characterized in that it further contains some trace element, selected from the group consisting of selenium, copper, manganese, calcium and magnesium. 8. Hranjivi farmaceutski sastav prema patentnom zahtjevu 1, naznačen time, da nadalje sadrži jednu aminokiselinu.8. Nutritive pharmaceutical composition according to patent claim 1, characterized in that it further contains one amino acid. 9. Hranjivi farmaceutski sastav prema patentnom zahtjevu 8, naznačen time, da aminokiselina jest arginin.9. Nutritive pharmaceutical composition according to claim 8, characterized in that the amino acid is arginine. 10. Hranjivi farmaceutski sastav prema patentnom zahtjevu 1, naznačen time, da nadalje sadrži N-acetil cistein.10. Nutritive pharmaceutical composition according to claim 1, characterized in that it further contains N-acetyl cysteine. 11. Hranjivi farmaceutski sastav koristan u liječenju raka, naznačen time, da sadrži: a) jedan askorbinski spoj; b) jedan L-lizinski spoj; c) jedan L-prolinski spoj; d) N-acetil cistein; i e) barem jedan polifenolni spoj odabran iz skupine koja se sastoji od epigalokatehin galata, epikatehin galata, epigalokatehina, epikatehina i katehina, u čemu spojevi a) do d) pojačavaju aktivnost polifenolnog spoja u blokiranju proliferacije raka i metastaze.11. Nutritive pharmaceutical composition useful in the treatment of cancer, characterized in that it contains: a) one ascorbic compound; b) one L-lysine compound; c) one L-proline compound; d) N-acetyl cysteine; and e) at least one polyphenolic compound selected from the group consisting of epigallocatechin gallate, epicatechin gallate, epigallocatechin, epicatechin and catechin, in which compounds a) to d) enhance the activity of the polyphenolic compound in blocking cancer proliferation and metastasis. 12. Hranjivi farmaceutski sastav prema patentnom zahtjevu 11, naznačen time, da se askorbinski spoj odabire iz skupine koja se sastoji od askorbinske kiseline, farmaceutski prihvatljivih askorbatnih soli, askorbatnih estera i/ili njihovih smjesa.12. Nutritive pharmaceutical composition according to patent claim 11, characterized in that the ascorbic compound is selected from the group consisting of ascorbic acid, pharmaceutically acceptable ascorbate salts, ascorbate esters and/or their mixtures. 13. Hranjivi sastav prema patentnom zahtjevu 12, naznačen time, da farmaceutski prihvatljiva askorbatna sol jest kalcijev askorbat ili magnezijev askorbat.13. Nutritional composition according to claim 12, characterized in that the pharmaceutically acceptable ascorbate salt is calcium ascorbate or magnesium ascorbate. 14. Hranjivi sastav prema patentnom zahtjevu 12, naznačen time, da askorbatni ester jest askorbil palmitat.14. Nutritional composition according to claim 12, characterized in that the ascorbate ester is ascorbyl palmitate. 15. Hranjivi farmaceutski sastav prema patentnom zahtjevu 11, naznačen time, da se lizinski spoj odabire iz skupine koja se sastoji od lizin hidroklorida i farmaceutski prihvatljivih lizinskih soli.15. Nutritive pharmaceutical composition according to patent claim 11, characterized in that the lysine compound is selected from the group consisting of lysine hydrochloride and pharmaceutically acceptable lysine salts. 16. Hranjivi farmaceutski sastav prema patentnom zahtjevu 11, naznačen time, da se prolinski spoj odabire iz skupine koja se sastoji od prolin hidroklorida i farmaceutski prihvatljivih prolinskih soli.16. Nutritive pharmaceutical composition according to claim 11, characterized in that the proline compound is selected from the group consisting of proline hydrochloride and pharmaceutically acceptable proline salts. 17. Hranjivi farmaceutski sastav prema patentnom zahtjevu 11, naznačen time, da sastav nadalje sadrži jedan element u tragovima, odabran iz skupine koja se sastoji od selena, bakra, mangana, kalcija i magnezija.17. Nutritive pharmaceutical composition according to patent claim 11, characterized in that the composition further contains one trace element selected from the group consisting of selenium, copper, manganese, calcium and magnesium. 18. Hranjivi farmaceutski sastav prema patentnom zahtjevu 11, naznačen time, da nadalje sadrži jednu aminokiselinu.18. Nutritive pharmaceutical composition according to patent claim 11, characterized in that it further contains one amino acid. 19. Hranjivi farmaceutski sastav prema patentnom zahtjevu 18, naznačen time, da aminokiselina jest arginin.19. Nutritive pharmaceutical composition according to claim 18, characterized in that the amino acid is arginine. 20. Hranjivi farmaceutski sastav koristan u liječenju raka, naznačen time, da sadrži: askorbinsku kiselinu, kalcijev askorbat, magnezijev askorbat, askorbil palmitat, polifenole, N-acetil cistein, lizin, prolin, arginin, selen, bakar i mangan.20. Nutritive pharmaceutical composition useful in the treatment of cancer, characterized in that it contains: ascorbic acid, calcium ascorbate, magnesium ascorbate, ascorbyl palmitate, polyphenols, N-acetyl cysteine, lysine, proline, arginine, selenium, copper and manganese. 21. Hranjivi farmaceutski sastav prema patentnom zahtjevu 20, naznačen time, da sastav sadrži 250 mg askorbinske kiseline, 250 mg kalcijevog askorbata, 250 mg magnezijevog askorbata, 250 mg askorbil palmitata, 1000 mg polifenola, 200 mg N-acetil-cisteina, 1000 mg lizina, 750 mg prolina, 500 mg arginina, 30 mcg selena, 2 mg bakra i 1 mg mangana.21. Nutritive pharmaceutical composition according to patent claim 20, characterized in that the composition contains 250 mg of ascorbic acid, 250 mg of calcium ascorbate, 250 mg of magnesium ascorbate, 250 mg of ascorbyl palmitate, 1000 mg of polyphenols, 200 mg of N-acetyl-cysteine, 1000 mg of lysine, 750 mg proline, 500 mg arginine, 30 mcg selenium, 2 mg copper and 1 mg manganese. 22. Hranjivi farmaceutski sastav prema patentnom zahtjevu 20, naznačen time, da sastav sadrži 25 mg askorbinske kiseline, 25 mg kalcijevog askorbata, 25 mg magnezijevog askorbata, 25 mg askorbil palmitata, 200 mg polifenola, 10 mg N-acetil-cisteina, 50 mg lizina, 25 mg prolina, 50 mg arginina, 1 mcg selena, 20 mcg bakra i 50 mcg mangana.22. Nutritive pharmaceutical composition according to patent claim 20, characterized in that the composition contains 25 mg of ascorbic acid, 25 mg of calcium ascorbate, 25 mg of magnesium ascorbate, 25 mg of ascorbyl palmitate, 200 mg of polyphenols, 10 mg of N-acetyl-cysteine, 50 mg lysine, 25 mg proline, 50 mg arginine, 1 mcg selenium, 20 mcg copper and 50 mcg manganese. 23. Hranjivi farmaceutski sastav prema patentnom zahtjevu 20, naznačen time, da sastav sadrži 5000 mg askorbinske kiseline, 5000 mg kalcijevog askorbata, 5000 mg magnezijevog askorbata, 5000 mg askorbil palmitata, 5000 mg polifenola, 1500 mg N-acetil-cisteina, 5000 mg lizina, 3000 mg prolina, 3000 mg arginina, 200 mcg selena, 9 mg bakra i 10 mg mangana.23. Nutritive pharmaceutical composition according to patent claim 20, characterized in that the composition contains 5000 mg of ascorbic acid, 5000 mg of calcium ascorbate, 5000 mg of magnesium ascorbate, 5000 mg of ascorbyl palmitate, 5000 mg of polyphenols, 1500 mg of N-acetyl-cysteine, 5000 mg lysine, 3000 mg proline, 3000 mg arginine, 200 mcg selenium, 9 mg copper and 10 mg manganese. 24. Hranjivi farmaceutski sastav prema patentnom zahtjevu 20, naznačen time, da sastav sadrži 250 mg askorbinske kiseline, 250 mg kalcijevog askorbata, 250 mg magnezijevog askorbata, 250 mg askorbil palmitata, 1000 mg polifenola, 200 mg N-acetil-cisteina, 1000 mg lizina, 750 mg prolina, 500 mg arginina, 100 mcg selena, 2 mg bakra, 1 mg mangana, 500 mg kalcija i 400 mg magnezija.24. Nutritive pharmaceutical composition according to patent claim 20, characterized in that the composition contains 250 mg of ascorbic acid, 250 mg of calcium ascorbate, 250 mg of magnesium ascorbate, 250 mg of ascorbyl palmitate, 1000 mg of polyphenols, 200 mg of N-acetyl-cysteine, 1000 mg of lysine, 750 mg proline, 500 mg arginine, 100 mcg selenium, 2 mg copper, 1 mg manganese, 500 mg calcium and 400 mg magnesium. 25. Hranjivi farmaceutski sastav prema patentnom zahtjevu 20, naznačen time, da sastav sadrži 250 mg askorbinske kiseline, 250 mg kalcijevog askorbata, 250 mg magnezijevog askorbata, 250 mg askorbil palmitata, 1000 mg polifenola, 200 mg N-acetil-cisteina, 1000 mg lizina, 750 mg prolina, 500 mg arginina, 100 mcg selena, 2 mg bakra, 1 mg mangana, 500 mg kalcija, 400 mg magnezija i 200 mg citrusnih bioflavonoida.25. Nutritive pharmaceutical composition according to patent claim 20, characterized in that the composition contains 250 mg of ascorbic acid, 250 mg of calcium ascorbate, 250 mg of magnesium ascorbate, 250 mg of ascorbyl palmitate, 1000 mg of polyphenols, 200 mg of N-acetyl-cysteine, 1000 mg of lysine, 750 mg proline, 500 mg arginine, 100 mcg selenium, 2 mg copper, 1 mg manganese, 500 mg calcium, 400 mg magnesium and 200 mg citrus bioflavonoids. 26. Hranjivi farmaceutski sastav koristan u liječenju raka, naznačen time, da sadrži: L-lizin, L-prolin, L-arginin, askorbinsku kiselinu, kalcij, magnezij, polifenole, N-acetil-cistein, selen, bakar i mangan.26. Nutritive pharmaceutical composition useful in the treatment of cancer, characterized in that it contains: L-lysine, L-proline, L-arginine, ascorbic acid, calcium, magnesium, polyphenols, N-acetyl-cysteine, selenium, copper and manganese. 27. Hranjivi farmaceutski sastav prema patentnom zahtjevu 26, naznačen time, da sastav sadrži 1000 mg L-lizina, 750 mg L-prolina, 500 mg L-arginina, 710 mg askorbinske kiseline, 22 mg kalcija, 50 mg magnezija, 1000 mg polifenola, 200 mg N-acetil-cisteina, 30 mcg selena, 2 mg bakra i 1 mg mangana.27. Nutritious pharmaceutical composition according to patent claim 26, characterized in that the composition contains 1000 mg of L-lysine, 750 mg of L-proline, 500 mg of L-arginine, 710 mg of ascorbic acid, 22 mg of calcium, 50 mg of magnesium, 1000 mg of polyphenols , 200 mg of N-acetyl-cysteine, 30 mcg of selenium, 2 mg of copper and 1 mg of manganese. 28. Hranjivi farmaceutski sastav prema patentnom zahtjevu 27, naznačen time, da se askorbinska kiselina odabire iz skupine koja se sastoji od askorbinske kiseline, kalcijevog askorbata, magnezijevog askorbata i askorbil palmitata. 28. Nutritive pharmaceutical composition according to patent claim 27, characterized in that ascorbic acid is selected from the group consisting of ascorbic acid, calcium ascorbate, magnesium ascorbate and ascorbyl palmitate. 29. Hranjivi farmaceutski sastav prema patentnom zahtjevu 27, naznačen time, da je polifenol odabran iz skupine koja se sastoji od epigalokatehin galata, epikatehin galata, epigalokatehina, epikatehina, katehina i drugih farmaceutski prihvatljivih polifenolnih soli i/ili njihovih smjesa.29. Nutritive pharmaceutical composition according to patent claim 27, characterized in that the polyphenol is selected from the group consisting of epigallocatechin gallate, epicatechin gallate, epigallocatechin, epicatechin, catechin and other pharmaceutically acceptable polyphenolic salts and/or their mixtures. 30. Postupak za liječenje raka u nekom pojedincu, naznačen time, da sadrži stupanj davanja tom pojedincu hranjivog farmaceutskog sastava prema bilo kojem od patentnih zahtjeva 1-29.30. A method for treating cancer in an individual, characterized by the fact that it contains the step of administering to that individual a nutritional pharmaceutical composition according to any of claims 1-29. 31. Postupak prema patentnom zahtjevu 30, naznačen time, da se rak odabire iz skupine koja se sastoji od raka melanoma, raka dojke, raka debelog crijeva, raka pluća i raka mozga.31. The method according to patent claim 30, characterized in that the cancer is selected from the group consisting of melanoma cancer, breast cancer, colon cancer, lung cancer and brain cancer. 32. Postupak za liječenje upalne bolesti u nekom pojedincu, naznačen time, da sadrži stupanj davanja tom pojedincu hranjivog farmaceutskog sastava prema bilo kojem od patentnih zahtjeva 1-29.32. A method for the treatment of an inflammatory disease in an individual, indicated by the fact that it contains the step of administering to that individual a nutritional pharmaceutical composition according to any of patent claims 1-29. 33. Postupak prema patentnom zahtjevu 32, naznačen time, da upalna bolest jest osteoartritis.33. The method according to claim 32, characterized in that the inflammatory disease is osteoarthritis.
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